- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,482.50 / $23,821.50 / $48,411.60
| Facility | | $18,482.50 | $23,821.50 | $48,411.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,078.83 / $27,078.83 / $27,078.83
| Facility | | $27,078.83 | $27,078.83 | $27,078.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,927.82 / $21,219.38 / $24,259.24
| Facility | | $16,927.82 | $21,219.38 | $24,259.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,753.02 / $26,114.40 / $33,962.91
| Facility | | $14,753.02 | $26,114.40 | $33,962.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,140.65 / $31,140.65 / $31,140.65
| Facility | | $31,140.65 | $31,140.65 | $31,140.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $20,943.09 / $32,252.90
| Facility | | $1,286.00 | $20,943.09 | $32,252.90 |