- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,816.50 / $27,592.40 / $32,269.40
| Facility | | $17,816.50 | $27,592.40 | $32,269.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,613.82 / $28,177.91 / $38,727.30
| Facility | | $18,613.82 | $28,177.91 | $38,727.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,022.47 / $23,168.51 / $35,106.17
| Facility | | $16,022.47 | $23,168.51 | $35,106.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.00 / $26,242.00 / $34,565.00
| Facility | | $15,496.00 | $26,242.00 | $34,565.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $25,733.06 / $42,320.66
| Facility | | $5,274.00 | $25,733.06 | $42,320.66 |