- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $29,512.09 / $50,118.72
| Facility | | $14,454.40 | $29,512.09 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $27,542.29 / $72,443.60
| Facility | | $6,165.95 | $27,542.29 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $28,183.83 / $42,657.95
| Facility | | $16,982.44 | $28,183.83 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $41,686.94 / $41,686.94
| Facility | | $41,686.94 | $41,686.94 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $26,915.35 / $72,443.60
| Facility | | $6,165.95 | $26,915.35 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $27,542.29 / $72,443.60
| Facility | | $6,165.95 | $27,542.29 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $21,877.62 / $63,095.73
| Facility | | $6,165.95 | $21,877.62 | $63,095.73 |