- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $26,915.35 / $27,542.29
| Facility | | $22,387.21 | $26,915.35 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $28,840.32 / $40,738.03
| Facility | | $16,595.87 | $28,840.32 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $23,442.29 / $41,686.94
| Facility | | $17,378.01 | $23,442.29 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $22,387.21 / $28,840.32
| Facility | | $19,498.45 | $22,387.21 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $26,302.68 / $43,651.58
| Facility | | $16,595.87 | $26,302.68 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $16,982.44 / $22,387.21
| Facility | | $190.55 | $16,982.44 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $30,902.95 / $31,622.78
| Facility | | $24,547.09 | $30,902.95 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $28,183.83 / $38,904.51
| Facility | | $16,982.44 | $28,183.83 | $38,904.51 |