- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,582.00 / $35,881.30 / $56,048.90
| Facility | | $21,582.00 | $35,881.30 | $56,048.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,227.05 / $31,360.30 / $48,181.04
| Facility | | $25,227.05 | $31,360.30 | $48,181.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,247.59 / $31,146.47 / $46,725.62
| Facility | | $19,247.59 | $31,146.47 | $46,725.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,271.95 / $31,381.75 / $48,610.42
| Facility | | $20,271.95 | $31,381.75 | $48,610.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,313.14 / $34,193.60 / $48,610.42
| Facility | | $22,313.14 | $34,193.60 | $48,610.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $36,252.07 / $52,201.43
| Facility | | $10,403.00 | $36,252.07 | $52,201.43 |