- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,130.30 / $22,078.70 / $44,869.70
| Facility | | $17,130.30 | $22,078.70 | $44,869.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,425.71 / $24,425.71 / $24,425.71
| Facility | | $24,425.71 | $24,425.71 | $24,425.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,326.45 / $20,465.55 / $23,397.41
| Facility | | $16,326.45 | $20,465.55 | $23,397.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,673.66 / $24,203.81 / $31,478.10
| Facility | | $13,673.66 | $24,203.81 | $31,478.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $21,992.60 / $30,918.73
| Facility | | $1,518.00 | $21,992.60 | $30,918.73 |