- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,438.30 / $25,438.30 / $30,149.40
| Facility | | $25,438.30 | $25,438.30 | $30,149.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,071.58 / $29,403.43 / $43,985.74
| Facility | | $18,071.58 | $29,403.43 | $43,985.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,805.38 / $25,751.06 / $43,812.44
| Facility | | $20,805.38 | $25,751.06 | $43,812.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,614.21 / $29,866.55 / $48,887.24
| Facility | | $18,614.21 | $29,866.55 | $48,887.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $265.83 / $16,778.03 / $24,946.03
| Facility | | $265.83 | $16,778.03 | $24,946.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,182.06 / $29,506.88 / $34,677.99
| Facility | | $21,182.06 | $29,506.88 | $34,677.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,116.81 / $31,473.40 / $39,674.79
| Facility | | $19,116.81 | $31,473.40 | $39,674.79 |