- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $29,512.09 / $43,651.58
| Facility | | $16,595.87 | $29,512.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $34,673.69 / $48,977.88
| Facility | | $20,892.96 | $34,673.69 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $28,183.83 / $42,657.95
| Facility | | $16,218.10 | $28,183.83 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $30,902.95 / $38,018.94
| Facility | | $30,902.95 | $30,902.95 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $29,512.09 / $35,481.34
| Facility | | $12,882.50 | $29,512.09 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $36,307.81 / $54,954.09
| Facility | | $24,547.09 | $36,307.81 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $28,840.32 / $43,651.58
| Facility | | $15,848.93 | $28,840.32 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $22,908.68 / $41,686.94
| Facility | | $7,413.10 | $22,908.68 | $41,686.94 |