- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,618.50 / $24,149.70 / $44,467.30
| Facility | | $16,618.50 | $24,149.70 | $44,467.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,608.30 / $18,143.21 / $28,833.01
| Facility | | $13,608.30 | $18,143.21 | $28,833.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $22,606.21 / $44,620.72
| Facility | | $5,939.30 | $22,606.21 | $44,620.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,743.93 / $25,813.18 / $39,701.48
| Facility | | $17,743.93 | $25,813.18 | $39,701.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $26,010.48 / $40,004.65
| Facility | | $3,496.00 | $26,010.48 | $40,004.65 |