- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,232.10 / $27,968.80 / $45,033.30
| Facility | | $12,232.10 | $27,968.80 | $45,033.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,884.74 / $22,367.16 / $33,045.99
| Facility | | $20,884.74 | $22,367.16 | $33,045.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $14,485.25 / $37,277.24
| Facility | | $1,474.01 | $14,485.25 | $37,277.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,245.80 / $29,243.16 / $41,426.46
| Facility | | $20,245.80 | $29,243.16 | $41,426.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,697.06 / $24,527.05 / $51,509.83
| Facility | | $17,697.06 | $24,527.05 | $51,509.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,922.59 / $29,241.00 / $44,219.38
| Facility | | $18,922.59 | $29,241.00 | $44,219.38 |