- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,103.00 / $24,941.90 / $40,488.50
| Facility | | $17,103.00 | $24,941.90 | $40,488.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,855.17 / $43,865.23 / $56,237.48
| Facility | | $30,855.17 | $43,865.23 | $56,237.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,082.93 / $38,828.48 / $47,741.63
| Facility | | $20,082.93 | $38,828.48 | $47,741.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,844.09 / $26,823.20 / $42,891.50
| Facility | | $17,844.09 | $26,823.20 | $42,891.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,868.50 / $35,685.41 / $54,216.51
| Facility | | $20,868.50 | $35,685.41 | $54,216.51 |