- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $21,379.62 / $67,608.30
| Facility | | $15,135.61 | $21,379.62 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $12,589.25 / $12,589.25
| Facility | | $12,589.25 | $12,589.25 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $16,595.87 / $35,481.34
| Facility | | $8,912.51 | $16,595.87 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $14,125.38 / $151,356.12
| Facility | | $14,125.38 | $14,125.38 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $19,952.62 / $33,113.11
| Facility | | $13,803.84 | $19,952.62 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $18,620.87 / $70,794.58
| Facility | | $10,715.19 | $18,620.87 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $16,982.44 / $32,359.37
| Facility | | $10,715.19 | $16,982.44 | $32,359.37 |