- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,510.40 / $24,510.40 / $29,049.70
| Facility | | $24,510.40 | $24,510.40 | $29,049.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,539.46 / $26,910.59 / $40,256.60
| Facility | | $16,539.46 | $26,910.59 | $40,256.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,046.52 / $24,811.80 / $42,214.41
| Facility | | $20,046.52 | $24,811.80 | $42,214.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,935.27 / $28,777.19 / $47,104.11
| Facility | | $17,935.27 | $28,777.19 | $47,104.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $243.30 / $15,355.58 / $24,036.14
| Facility | | $243.30 | $15,355.58 | $24,036.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,409.46 / $28,430.64 / $33,413.12
| Facility | | $20,409.46 | $28,430.64 | $33,413.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,419.53 / $30,325.43 / $38,227.67
| Facility | | $18,419.53 | $30,325.43 | $38,227.67 |