- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $37,153.52 / $61,659.50
| Facility | | $24,547.09 | $37,153.52 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $29,512.09 / $48,977.88
| Facility | | $21,379.62 | $29,512.09 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $25,118.86 / $33,113.11
| Facility | | $18,620.87 | $25,118.86 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $30,199.52 / $43,651.58
| Facility | | $19,952.62 | $30,199.52 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $29,512.09 / $40,738.03
| Facility | | $22,387.21 | $29,512.09 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $33,113.11 / $46,773.51
| Facility | | $11,481.54 | $33,113.11 | $46,773.51 |