- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $33,113.11 / $53,703.18
| Facility | | $21,877.62 | $33,113.11 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $32,359.37 / $32,359.37
| Facility | | $32,359.37 | $32,359.37 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $22,908.68 / $38,904.51
| Facility | | $11,220.18 | $22,908.68 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $32,359.37 / $61,659.50
| Facility | | $20,417.38 | $32,359.37 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $81,283.05 / $81,283.05
| Facility | | $81,283.05 | $81,283.05 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $30,902.95 / $53,703.18
| Facility | | $12,589.25 | $30,902.95 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $27,542.29 / $69,183.10
| Facility | | $20,417.38 | $27,542.29 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $29,512.09 / $60,255.96
| Facility | | $9,772.37 | $29,512.09 | $60,255.96 |