- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $19,498.45 / $25,118.86
| Facility | | $16,982.44 | $19,498.45 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $19,054.61 / $33,113.11
| Facility | | $14,454.40 | $19,054.61 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $20,892.96 / $34,673.69
| Facility | | $8,709.64 | $20,892.96 | $34,673.69 |
- 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
- $18,197.01 / $23,442.29 / $34,673.69
| Facility | | $18,197.01 | $23,442.29 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $21,379.62 / $36,307.81
| Facility | | $10,964.78 | $21,379.62 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $19,952.62 / $30,902.95
| Facility | | $12,882.50 | $19,952.62 | $30,902.95 |