- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $29,512.09 / $38,018.94
| Facility | | $21,379.62 | $29,512.09 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $48,977.88 / $48,977.88
| Facility | | $48,977.88 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $26,302.68 / $36,307.81
| Facility | | $17,378.01 | $26,302.68 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $30,902.95 / $43,651.58
| Facility | | $16,218.10 | $30,902.95 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $28,183.83 / $36,307.81
| Facility | | $17,378.01 | $28,183.83 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $30,902.95 / $43,651.58
| Facility | | $15,135.61 | $30,902.95 | $43,651.58 |