- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,898.30 / $38,280.50 / $54,201.10
| Facility | | $20,898.30 | $38,280.50 | $54,201.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,718.81 / $37,718.81 / $37,718.81
| Facility | | $37,718.81 | $37,718.81 | $37,718.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,500.46 / $36,218.18 / $56,184.60
| Facility | | $22,500.46 | $36,218.18 | $56,184.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,485.00 / $32,940.75 / $61,265.98
| Facility | | $14,485.00 | $32,940.75 | $61,265.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $32,489.73 / $72,447.14
| Facility | | $7,117.00 | $32,489.73 | $72,447.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $31,781.93 / $64,380.31
| Facility | | $3,308.00 | $31,781.93 | $64,380.31 |