- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,691.50 / $32,538.50 / $42,483.60
| Facility | | $15,691.50 | $32,538.50 | $42,483.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,330.52 / $79,569.10
| Facility | | $5,840.42 | $29,330.52 | $79,569.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,385.33 / $30,400.54 / $45,935.57
| Facility | | $18,385.33 | $30,400.54 | $45,935.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,171.89 / $43,171.89 / $43,171.89
| Facility | | $43,171.89 | $43,171.89 | $43,171.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,489.66 / $30,625.80 / $47,293.43
| Facility | | $26,489.66 | $30,625.80 | $47,293.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $29,330.52 / $79,569.10
| Facility | | $5,840.42 | $29,330.52 | $79,569.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $23,108.58 / $62,183.96
| Facility | | $5,840.42 | $23,108.58 | $62,183.96 |