- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $22,908.68 / $29,512.09
| Facility | | $19,952.62 | $22,908.68 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $23,988.33 / $40,738.03
| Facility | | $10,232.93 | $23,988.33 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $27,542.29 / $38,904.51
| Facility | | $21,379.62 | $27,542.29 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $26,302.68 / $42,657.95
| Facility | | $12,589.25 | $26,302.68 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $23,988.33 / $36,307.81
| Facility | | $15,135.61 | $23,988.33 | $36,307.81 |