- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,280.50 / $28,716.60 / $58,359.70
| Facility | | $22,280.50 | $28,716.60 | $58,359.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,263.21 / $31,263.21 / $34,550.01
| Facility | | $31,263.21 | $31,263.21 | $34,550.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,967.00 / $26,282.59 / $30,047.79
| Facility | | $20,967.00 | $26,282.59 | $30,047.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,629.16 / $29,291.77 / $40,264.14
| Facility | | $17,629.16 | $29,291.77 | $40,264.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,952.69 / $35,952.69 / $39,732.51
| Facility | | $35,952.69 | $35,952.69 | $39,732.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $28,604.64 / $40,214.39
| Facility | | $1,518.00 | $28,604.64 | $40,214.39 |