- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,379.80 / $32,879.40 / $52,940.00
| Facility | | $14,379.80 | $32,879.40 | $52,940.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $17,826.74 / $46,398.01
| Facility | | $1,474.01 | $17,826.74 | $46,398.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,800.46 / $34,377.54 / $48,699.91
| Facility | | $23,800.46 | $34,377.54 | $48,699.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,059.48 / $28,130.80 / $60,553.67
| Facility | | $18,059.48 | $28,130.80 | $60,553.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,059.48 / $28,833.39 / $51,983.21
| Facility | | $18,059.48 | $28,833.39 | $51,983.21 |