- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,629.80 / $20,144.59 / $40,939.19
| Facility | | $15,629.80 | $20,144.59 | $40,939.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,269.53 / $24,269.53 / $30,399.21
| Facility | | $24,269.53 | $24,269.53 | $30,399.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,709.07 / $18,438.13 / $21,079.55
| Facility | | $14,709.07 | $18,438.13 | $21,079.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,475.89 / $22,083.64 / $28,720.72
| Facility | | $12,475.89 | $22,083.64 | $28,720.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,909.96 / $27,909.96 / $34,959.08
| Facility | | $27,909.96 | $27,909.96 | $34,959.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $20,066.12 / $28,210.35
| Facility | | $1,518.00 | $20,066.12 | $28,210.35 |