- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,069.00 / $18,270.00 / $21,064.30
| Facility | | $15,069.00 | $18,270.00 | $21,064.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,979.06 / $31,979.06 / $37,598.54
| Facility | | $31,979.06 | $31,979.06 | $37,598.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,485.00 / $5,462.00
| Facility | | $1,252.00 | $3,485.00 | $5,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,404.96 / $21,337.00 / $36,620.96
| Facility | | $13,404.96 | $21,337.00 | $36,620.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $21,297.71 / $32,243.55
| Facility | | $3,137.00 | $21,297.71 | $32,243.55 |