- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $8,128.31 / $37,153.52
| Facility | | $512.86 | $8,128.31 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $53,703.18 / $97,723.72
| Facility | | $25,118.86 | $53,703.18 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $371.54 / $407.38
| Facility | | $346.74 | $371.54 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $25,118.86 / $25,118.86
| Facility | | $25,118.86 | $25,118.86 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $21,877.62 / $47,863.01
| Facility | | $14,454.40 | $21,877.62 | $47,863.01 |