- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,508.19 / $49,020.30 / $60,372.50
| Facility | | $40,508.19 | $49,020.30 | $60,372.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,648.58 / $43,297.82 / $44,047.90
| Facility | | $39,648.58 | $43,297.82 | $44,047.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Facility | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,683.60 / $50,010.57 / $78,365.89
| Facility | | $38,683.60 | $50,010.57 | $78,365.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,390.00 / $5,392.50 / $28,918.51
| Facility | | $3,390.00 | $5,392.50 | $28,918.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,419.02 / $63,195.86 / $83,401.50
| Facility | | $47,419.02 | $63,195.86 | $83,401.50 |