- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,962.01 / $30,756.98 / $30,756.98
| Facility | | $26,962.01 | $30,756.98 | $30,756.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,534.40 / $44,534.40 / $44,534.40
| Facility | | $44,534.40 | $44,534.40 | $44,534.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,305.21 / $24,766.82 / $50,297.24
| Facility | | $15,305.21 | $24,766.82 | $50,297.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,485.00 / $28,308.35 / $45,666.70
| Facility | | $22,485.00 | $28,308.35 | $45,666.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,948.88 / $31,990.45 / $46,997.66
| Facility | | $20,948.88 | $31,990.45 | $46,997.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,053.51 / $26,053.51 / $45,340.27
| Facility | | $26,053.51 | $26,053.51 | $45,340.27 |