- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $23,442.29 / $47,863.01
| Facility | | $10,471.29 | $23,442.29 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $40,738.03 / $50,118.72
| Facility | | $27,542.29 | $40,738.03 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $29,512.09 / $41,686.94
| Facility | | $15,488.17 | $29,512.09 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $30,902.95 / $77,624.71
| Facility | | $16,982.44 | $30,902.95 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $11,748.98 / $12,302.69
| Facility | | $11,220.18 | $11,748.98 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $20,417.38 / $40,738.03
| Facility | | $8,317.64 | $20,417.38 | $40,738.03 |