- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $25,703.96 / $51,286.14
| Facility | | $21,877.62 | $25,703.96 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $22,387.21 / $36,307.81
| Facility | | $13,803.84 | $22,387.21 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $19,952.62 / $28,840.32
| Facility | | $16,595.87 | $19,952.62 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $17,378.01 / $22,387.21
| Facility | | $15,488.17 | $17,378.01 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $22,908.68 / $36,307.81
| Facility | | $17,378.01 | $22,908.68 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $19,498.45 / $27,542.29
| Facility | | $13,489.63 | $19,498.45 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $20,892.96 / $25,118.86
| Facility | | $15,848.93 | $20,892.96 | $25,118.86 |