- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,323.00 / $37,709.90 / $49,087.60
| Facility | | $24,323.00 | $37,709.90 | $49,087.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,692.64 / $37,654.00 / $51,002.93
| Facility | | $21,692.64 | $37,654.00 | $51,002.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,817.00 / $4,817.00 / $4,817.00
| Facility | | $4,817.00 | $4,817.00 | $4,817.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,742.00 / $28,462.00 / $44,027.00
| Facility | | $18,742.00 | $28,462.00 | $44,027.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,764.00 / $46,514.74
| Facility | | $6,098.00 | $18,764.00 | $46,514.74 |