- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,724.60 / $24,312.60 / $31,743.50
| Facility | | $11,724.60 | $24,312.60 | $31,743.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $21,915.63 / $59,453.66
| Facility | | $5,840.42 | $21,915.63 | $59,453.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,737.43 / $22,715.14 / $34,322.85
| Facility | | $13,737.43 | $22,715.14 | $34,322.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,257.83 / $32,257.83 / $32,257.83
| Facility | | $32,257.83 | $32,257.83 | $32,257.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,792.95 / $22,883.46 / $35,337.43
| Facility | | $19,792.95 | $22,883.46 | $35,337.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $21,915.63 / $59,453.66
| Facility | | $5,840.42 | $21,915.63 | $59,453.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,266.62 / $46,463.56
| Facility | | $5,840.42 | $17,266.62 | $46,463.56 |