- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,401.60 / $30,430.70 / $50,112.80
| Facility | | $12,401.60 | $30,430.70 | $50,112.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,165.61 / $50,699.41 / $65,741.53
| Facility | | $34,165.61 | $50,699.41 | $65,741.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $40,216.19 / $64,301.45
| Facility | | $17,646.00 | $40,216.19 | $64,301.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,546.96 / $43,324.53 / $90,852.91
| Facility | | $22,546.96 | $43,324.53 | $90,852.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $43,038.43 / $64,317.32
| Facility | | $17,648.00 | $43,038.43 | $64,317.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $28,797.17 / $55,316.88
| Facility | | $5,281.00 | $28,797.17 | $55,316.88 |