- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,481.40 / $31,719.40 / $36,013.00
| Facility | | $20,481.40 | $31,719.40 | $36,013.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,376.00 / $30,845.53 / $43,506.95
| Facility | | $20,376.00 | $30,845.53 | $43,506.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,913.05 / $29,448.36 / $40,356.99
| Facility | | $18,913.05 | $29,448.36 | $40,356.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,434.00 / $28,029.00 / $38,252.00
| Facility | | $19,434.00 | $28,029.00 | $38,252.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $36,642.08 / $48,767.67
| Facility | | $5,274.00 | $36,642.08 | $48,767.67 |