- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,952.60 / $28,836.20 / $28,836.20
| Facility | | $25,952.60 | $28,836.20 | $28,836.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,568.00 / $19,031.11 / $40,558.90
| Facility | | $18,568.00 | $19,031.11 | $40,558.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,780.95 / $17,228.16 / $44,645.63
| Facility | | $9,780.95 | $17,228.16 | $44,645.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,996.56 / $31,749.59 / $49,896.70
| Facility | | $17,996.56 | $31,749.59 | $49,896.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,965.00 / $43,080.58 / $55,624.24
| Facility | | $6,965.00 | $43,080.58 | $55,624.24 |