- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,668.40 / $25,668.40 / $30,422.10
| Facility | | $25,668.40 | $25,668.40 | $30,422.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,181.29 / $27,954.89 / $41,818.81
| Facility | | $17,181.29 | $27,954.89 | $41,818.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,993.56 / $25,983.97 / $44,208.71
| Facility | | $20,993.56 | $25,983.97 | $44,208.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,782.57 / $30,136.69 / $49,329.41
| Facility | | $18,782.57 | $30,136.69 | $49,329.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $252.75 / $15,951.47 / $25,171.65
| Facility | | $252.75 | $15,951.47 | $25,171.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,373.65 / $29,773.76 / $34,991.64
| Facility | | $21,373.65 | $29,773.76 | $34,991.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,289.71 / $31,758.07 / $40,033.62
| Facility | | $19,289.71 | $31,758.07 | $40,033.62 |