- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,937.90 / $26,139.70 / $44,134.30
| Facility | | $11,937.90 | $26,139.70 | $44,134.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,917.41 / $44,395.37 / $57,567.13
| Facility | | $29,917.41 | $44,395.37 | $57,567.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,058.49 / $37,262.62 / $54,699.44
| Facility | | $26,058.49 | $37,262.62 | $54,699.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,175.33 / $36,845.87 / $77,266.95
| Facility | | $19,175.33 | $36,845.87 | $77,266.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,058.49 / $40,570.06 / $55,001.00
| Facility | | $26,058.49 | $40,570.06 | $55,001.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,549.51 / $34,311.86 / $51,581.81
| Facility | | $7,549.51 | $34,311.86 | $51,581.81 |