- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,277.59 / $28,151.00 / $37,000.10
| Facility | | $19,277.59 | $28,151.00 | $37,000.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,026.46 / $35,475.94 / $60,002.79
| Facility | | $13,026.46 | $35,475.94 | $60,002.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,290.53 / $28,406.39 / $51,581.16
| Facility | | $20,290.53 | $28,406.39 | $51,581.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,248.55 / $31,556.48 / $46,075.03
| Facility | | $24,248.55 | $31,556.48 | $46,075.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,248.55 / $29,335.95 / $46,075.03
| Facility | | $24,248.55 | $29,335.95 | $46,075.03 |