- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,561.50 / $22,561.50 / $26,739.80
| Facility | | $22,561.50 | $22,561.50 | $26,739.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,844.58 / $27,407.03 / $40,999.25
| Facility | | $16,844.58 | $27,407.03 | $40,999.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,452.53 / $22,838.92 / $38,857.76
| Facility | | $18,452.53 | $22,838.92 | $38,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,509.16 / $26,489.00 / $43,358.67
| Facility | | $16,509.16 | $26,489.00 | $43,358.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $247.79 / $15,638.86 / $22,344.17
| Facility | | $247.79 | $15,638.86 | $22,344.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,786.62 / $26,170.00 / $30,756.32
| Facility | | $18,786.62 | $26,170.00 | $30,756.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,954.91 / $27,914.13 / $35,188.04
| Facility | | $16,954.91 | $27,914.13 | $35,188.04 |