- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,737.20 / $36,153.80 / $51,189.90
| Facility | | $19,737.20 | $36,153.80 | $51,189.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,164.42 / $34,011.08 / $52,934.78
| Facility | | $21,164.42 | $34,011.08 | $52,934.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,520.72 / $32,522.23 / $57,862.21
| Facility | | $20,520.72 | $32,522.23 | $57,862.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $30,386.18 / $68,422.17
| Facility | | $7,117.00 | $30,386.18 | $68,422.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $30,016.22 / $63,160.38
| Facility | | $3,308.00 | $30,016.22 | $63,160.38 |