- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,803.40 / $43,164.60 / $57,901.50
| Facility | | $20,803.40 | $43,164.60 | $57,901.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,207.39 / $38,711.48 / $45,161.95
| Facility | | $16,207.39 | $38,711.48 | $45,161.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $48,313.47 / $57,446.96
| Facility | | $3,897.00 | $48,313.47 | $57,446.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,689.87 / $44,572.10 / $70,155.12
| Facility | | $36,689.87 | $44,572.10 | $70,155.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $55,067.66 / $69,546.55
| Facility | | $1,350.00 | $55,067.66 | $69,546.55 |