- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,409.70 / $26,409.70 / $31,300.80
| Facility | | $26,409.70 | $26,409.70 | $31,300.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,864.14 / $32,320.01 / $48,348.77
| Facility | | $19,864.14 | $32,320.01 | $48,348.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,599.91 / $26,734.46 / $45,485.58
| Facility | | $21,599.91 | $26,734.46 | $45,485.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,325.07 / $31,007.12 / $50,754.18
| Facility | | $19,325.07 | $31,007.12 | $50,754.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $292.20 / $18,442.28 / $26,349.58
| Facility | | $292.20 | $18,442.28 | $26,349.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,990.98 / $30,633.71 / $36,002.29
| Facility | | $21,990.98 | $30,633.71 | $36,002.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,846.84 / $32,675.33 / $41,189.91
| Facility | | $19,846.84 | $32,675.33 | $41,189.91 |