- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,023.09 / $20,023.09 / $23,731.30
| Facility | | $20,023.09 | $20,023.09 | $23,731.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,061.83 / $24,506.40 / $36,660.08
| Facility | | $15,061.83 | $24,506.40 | $36,660.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,376.42 / $20,269.29 / $34,485.85
| Facility | | $16,376.42 | $20,269.29 | $34,485.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,651.71 / $23,508.70 / $38,480.35
| Facility | | $14,651.71 | $23,508.70 | $38,480.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $221.57 / $13,983.72 / $19,979.37
| Facility | | $221.57 | $13,983.72 | $19,979.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,672.91 / $23,225.59 / $27,295.90
| Facility | | $16,672.91 | $23,225.59 | $27,295.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,047.31 / $24,773.49 / $31,229.00
| Facility | | $15,047.31 | $24,773.49 | $31,229.00 |