- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,128.50 / $26,128.50 / $30,967.50
| Facility | | $26,128.50 | $26,128.50 | $30,967.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,844.91 / $29,034.64 / $43,434.06
| Facility | | $17,844.91 | $29,034.64 | $43,434.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,369.91 / $26,449.79 / $45,001.25
| Facility | | $21,369.91 | $26,449.79 | $45,001.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,119.29 / $30,676.95 / $50,213.75
| Facility | | $19,119.29 | $30,676.95 | $50,213.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $262.51 / $16,567.59 / $25,622.91
| Facility | | $262.51 | $16,567.59 | $25,622.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,756.82 / $30,307.53 / $35,618.94
| Facility | | $21,756.82 | $30,307.53 | $35,618.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,635.52 / $32,327.40 / $40,751.33
| Facility | | $19,635.52 | $32,327.40 | $40,751.33 |