- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,999.50 / $27,009.80 / $47,529.40
| Facility | | $15,999.50 | $27,009.80 | $47,529.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,350.89 / $24,350.89 / $24,350.89
| Facility | | $24,350.89 | $24,350.89 | $24,350.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,580.86 / $25,800.95 / $42,681.86
| Facility | | $17,580.86 | $25,800.95 | $42,681.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,554.03 / $24,483.64 / $33,593.73
| Facility | | $14,554.03 | $24,483.64 | $33,593.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,286.40 / $50,286.40 / $59,015.36
| Facility | | $50,286.40 | $50,286.40 | $59,015.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $23,538.78 / $33,622.44
| Facility | | $1,787.00 | $23,538.78 | $33,622.44 |