- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,521.19 / $34,521.19 / $40,914.50
| Facility | | $34,521.19 | $34,521.19 | $40,914.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,791.01 / $41,963.36 / $62,774.63
| Facility | | $25,791.01 | $41,963.36 | $62,774.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,234.11 / $34,945.69 / $59,456.04
| Facility | | $28,234.11 | $34,945.69 | $59,456.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,260.58 / $40,530.65 / $66,342.84
| Facility | | $25,260.58 | $40,530.65 | $66,342.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $379.40 / $23,944.92 / $34,211.53
| Facility | | $379.40 | $23,944.92 | $34,211.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,745.30 / $40,042.56 / $47,060.05
| Facility | | $28,745.30 | $40,042.56 | $47,060.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,942.62 / $42,711.24 / $53,841.00
| Facility | | $25,942.62 | $42,711.24 | $53,841.00 |