- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,643.40 / $31,823.70 / $51,726.80
| Facility | | $18,643.40 | $31,823.70 | $51,726.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.00 / $25,184.88 / $28,691.17
| Facility | | $11,231.00 | $25,184.88 | $28,691.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,927.09 / $25,285.46 / $39,890.26
| Facility | | $15,927.09 | $25,285.46 | $39,890.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,303.76 / $22,433.21 / $40,276.57
| Facility | | $12,303.76 | $22,433.21 | $40,276.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $26,409.26 / $36,326.48
| Facility | | $6,842.00 | $26,409.26 | $36,326.48 |