- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,333.00 / $23,851.00 / $31,348.40
| Facility | | $16,333.00 | $23,851.00 | $31,348.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,122.98 / $16,675.18 / $28,203.82
| Facility | | $6,122.98 | $16,675.18 | $28,203.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,592.04 / $23,956.96 / $40,098.53
| Facility | | $16,592.04 | $23,956.96 | $40,098.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,544.63 / $26,736.28 / $39,037.15
| Facility | | $20,544.63 | $26,736.28 | $39,037.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,544.63 / $24,854.94 / $39,037.15
| Facility | | $20,544.63 | $24,854.94 | $39,037.15 |