- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,597.80 / $29,597.80 / $35,079.19
| Facility | | $29,597.80 | $29,597.80 | $35,079.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,348.31 / $34,734.83 / $51,961.20
| Facility | | $21,348.31 | $34,734.83 | $51,961.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,207.34 / $29,961.71 / $50,976.38
| Facility | | $24,207.34 | $29,961.71 | $50,976.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,657.90 / $34,750.15 / $56,880.98
| Facility | | $21,657.90 | $34,750.15 | $56,880.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $314.04 / $19,820.21 / $29,025.05
| Facility | | $314.04 | $19,820.21 | $29,025.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,645.62 / $34,331.67 / $40,348.32
| Facility | | $24,645.62 | $34,331.67 | $40,348.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,242.67 / $36,619.74 / $46,162.16
| Facility | | $22,242.67 | $36,619.74 | $46,162.16 |