- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $28,183.83 / $33,884.42
| Facility | | $22,908.68 | $28,183.83 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $25,118.86 / $40,738.03
| Facility | | $24,547.09 | $25,118.86 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $28,840.32 / $44,668.36
| Facility | | $21,877.62 | $28,840.32 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $34,673.69 / $34,673.69
| Facility | | $17,378.01 | $34,673.69 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $31,622.78 / $47,863.01
| Facility | | $22,908.68 | $31,622.78 | $47,863.01 |