- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,773.60 / $20,086.50 / $32,606.70
| Facility | | $13,773.60 | $20,086.50 | $32,606.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,151.65 / $62,768.16 / $80,472.00
| Facility | | $44,151.65 | $62,768.16 | $80,472.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,173.44 / $31,269.84 / $39,550.69
| Facility | | $16,173.44 | $31,269.84 | $39,550.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,370.50 / $21,601.60 / $34,541.90
| Facility | | $14,370.50 | $21,601.60 | $34,541.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,806.09 / $28,738.62 / $43,662.31
| Facility | | $16,806.09 | $28,738.62 | $43,662.31 |