- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $37,153.52 / $38,018.94
| Facility | | $30,902.95 | $37,153.52 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $39,810.72 / $57,543.99
| Facility | | $22,908.68 | $39,810.72 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $32,359.37 / $57,543.99
| Facility | | $23,988.33 | $32,359.37 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $30,902.95 / $39,810.72
| Facility | | $26,915.35 | $30,902.95 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $36,307.81 / $60,255.96
| Facility | | $22,908.68 | $36,307.81 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $23,442.29 / $30,902.95
| Facility | | $263.03 | $23,442.29 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $42,657.95 / $43,651.58
| Facility | | $33,884.42 | $42,657.95 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $38,904.51 / $53,703.18
| Facility | | $23,442.29 | $38,904.51 | $53,703.18 |