- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,862.30 / $26,256.10 / $43,459.90
| Facility | | $10,862.30 | $26,256.10 | $43,459.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.96 / $45,587.25 / $61,418.98
| Facility | | $30,199.96 | $45,587.25 | $61,418.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $34,877.12 / $55,764.86
| Facility | | $17,646.00 | $34,877.12 | $55,764.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,553.65 / $37,572.81 / $78,791.38
| Facility | | $19,553.65 | $37,572.81 | $78,791.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $37,324.69 / $55,778.62
| Facility | | $17,648.00 | $37,324.69 | $55,778.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $24,974.09 / $47,973.07
| Facility | | $5,281.00 | $24,974.09 | $47,973.07 |