- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,514.50 / $34,245.10 / $44,711.80
| Facility | | $16,514.50 | $34,245.10 | $44,711.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,272.82 / $83,742.49
| Facility | | $5,840.42 | $31,272.82 | $83,742.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,349.63 / $31,995.04 / $48,344.89
| Facility | | $19,349.63 | $31,995.04 | $48,344.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,436.25 / $45,436.25 / $45,436.25
| Facility | | $45,436.25 | $45,436.25 | $45,436.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,879.04 / $32,232.12 / $49,773.96
| Facility | | $27,879.04 | $32,232.12 | $49,773.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,272.82 / $83,742.49
| Facility | | $5,840.42 | $31,272.82 | $83,742.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,272.82 / $65,445.50
| Facility | | $5,840.42 | $31,272.82 | $65,445.50 |