- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,574.10 / $28,577.80 / $50,000.40
| Facility | | $21,574.10 | $28,577.80 | $50,000.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,681.73 / $34,681.73 / $34,681.73
| Facility | | $34,681.73 | $34,681.73 | $34,681.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $25,214.41 / $51,261.90
| Facility | | $5,939.30 | $25,214.41 | $51,261.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,269.37 / $27,418.04 / $44,641.58
| Facility | | $16,269.37 | $27,418.04 | $44,641.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $29,450.81 / $44,982.47
| Facility | | $3,496.00 | $29,450.81 | $44,982.47 |