- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $36,307.81 / $74,131.02
| Facility | | $30,902.95 | $36,307.81 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $31,622.78 / $47,863.01
| Facility | | $19,498.45 | $31,622.78 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $26,915.35 / $41,686.94
| Facility | | $22,387.21 | $26,915.35 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $22,908.68 / $30,902.95
| Facility | | $18,197.01 | $22,908.68 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $30,902.95 / $47,863.01
| Facility | | $22,908.68 | $30,902.95 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $25,703.96 / $32,359.37
| Facility | | $18,197.01 | $25,703.96 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $29,512.09 / $35,481.34
| Facility | | $22,908.68 | $29,512.09 | $35,481.34 |