- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,328.40 / $20,328.40 / $24,093.10
| Facility | | $20,328.40 | $20,328.40 | $24,093.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,372.39 / $25,011.71 / $37,415.99
| Facility | | $15,372.39 | $25,011.71 | $37,415.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,626.09 / $20,578.32 / $35,011.62
| Facility | | $16,626.09 | $20,578.32 | $35,011.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,875.09 / $23,867.11 / $39,067.01
| Facility | | $14,875.09 | $23,867.11 | $39,067.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.14 / $14,272.05 / $20,391.33
| Facility | | $226.14 | $14,272.05 | $20,391.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,927.12 / $23,579.69 / $27,712.05
| Facility | | $16,927.12 | $23,579.69 | $27,712.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,276.72 / $25,151.19 / $31,705.12
| Facility | | $15,276.72 | $25,151.19 | $31,705.12 |