- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $30,199.52 / $56,234.13
| Facility | | $16,595.87 | $30,199.52 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $32,359.37 / $54,954.09
| Facility | | $18,620.87 | $32,359.37 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,387.21 / $50,118.72
| Facility | | $100.00 | $22,387.21 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $26,302.68 / $46,773.51
| Facility | | $18,620.87 | $26,302.68 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $46,773.51 / $46,773.51
| Facility | | $46,773.51 | $46,773.51 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $29,512.09 / $54,954.09
| Facility | | $18,620.87 | $29,512.09 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $25,118.86 / $51,286.14
| Facility | | $5,754.40 | $25,118.86 | $51,286.14 |