- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,032.20 / $30,349.70 / $34,991.40
| Facility | | $25,032.20 | $30,349.70 | $34,991.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,645.77 / $32,645.77 / $32,645.77
| Facility | | $32,645.77 | $32,645.77 | $32,645.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,715.00 / $8,731.00
| Facility | | $1,252.00 | $3,715.00 | $8,731.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,267.94 / $35,444.42 / $60,833.71
| Facility | | $22,267.94 | $35,444.42 | $60,833.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $34,492.26 / $53,562.07
| Facility | | $3,137.00 | $34,492.26 | $53,562.07 |