- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,083.90 / $35,593.10 / $62,633.50
| Facility | | $21,083.90 | $35,593.10 | $62,633.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,571.32 / $29,948.14 / $40,082.76
| Facility | | $26,571.32 | $29,948.14 | $40,082.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,454.61 / $31,410.47 / $51,935.45
| Facility | | $21,454.61 | $31,410.47 | $51,935.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,179.09 / $32,264.18 / $44,269.33
| Facility | | $19,179.09 | $32,264.18 | $44,269.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,708.00 / $65,396.70 / $76,748.58
| Facility | | $46,708.00 | $65,396.70 | $76,748.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $33,844.69 / $78,884.00
| Facility | | $2,520.00 | $33,844.69 | $78,884.00 |