- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $18,620.87 / $23,988.33
| Facility | | $15,848.93 | $18,620.87 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $19,498.45 / $34,673.69
| Facility | | $8,317.64 | $19,498.45 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $22,387.21 / $45,708.82
| Facility | | $16,982.44 | $22,387.21 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $22,387.21 / $48,977.88
| Facility | | $10,715.19 | $22,387.21 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $19,498.45 / $37,153.52
| Facility | | $12,882.50 | $19,498.45 | $37,153.52 |