- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,563.59 / $34,111.50 / $45,775.00
| Facility | | $20,563.59 | $34,111.50 | $45,775.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,248.52 / $26,248.52 / $26,248.52
| Facility | | $26,248.52 | $26,248.52 | $26,248.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,585.39 / $29,476.10 / $47,162.90
| Facility | | $15,585.39 | $29,476.10 | $47,162.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,885.48 / $27,465.00 / $62,988.23
| Facility | | $16,885.48 | $27,465.00 | $62,988.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,047.62 / $27,054.86 / $38,326.49
| Facility | | $20,047.62 | $27,054.86 | $38,326.49 |