- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,295.00 / $68,024.50 / $94,103.90
| Facility | | $20,295.00 | $68,024.50 | $94,103.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $15,916.28
| Facility | | $1,146.00 | $3,000.00 | $15,916.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,603.48 / $36,531.00 / $65,617.78
| Facility | | $25,603.48 | $36,531.00 | $65,617.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,655.21 / $35,376.21 / $65,617.78
| Facility | | $20,655.21 | $35,376.21 | $65,617.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,036.00 / $27,682.38 / $70,204.46
| Facility | | $3,036.00 | $27,682.38 | $70,204.46 |