- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $41,686.94 / $58,884.37
| Facility | | $23,442.29 | $41,686.94 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $42,657.95 / $67,608.30
| Facility | | $22,908.68 | $42,657.95 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $38,904.51 / $53,703.18
| Facility | | $20,892.96 | $38,904.51 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $44,668.36 / $53,703.18
| Facility | | $44,668.36 | $44,668.36 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $41,686.94 / $52,480.75
| Facility | | $22,387.21 | $41,686.94 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $46,773.51 / $70,794.58
| Facility | | $32,359.37 | $46,773.51 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $38,904.51 / $56,234.13
| Facility | | $22,908.68 | $38,904.51 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $20,417.38 / $33,113.11
| Facility | | $17,378.01 | $20,417.38 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $30,902.95 / $56,234.13
| Facility | | $5,370.32 | $30,902.95 | $56,234.13 |