- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,772.09 / $36,217.69 / $51,280.40
| Facility | | $19,772.09 | $36,217.69 | $51,280.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,018.56 / $27,018.56 / $31,790.43
| Facility | | $27,018.56 | $27,018.56 | $31,790.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,437.79 / $32,774.79 / $50,832.92
| Facility | | $20,437.79 | $32,774.79 | $50,832.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,557.02 / $32,579.76 / $57,964.57
| Facility | | $20,557.02 | $32,579.76 | $57,964.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $30,069.31 / $68,543.21
| Facility | | $7,117.00 | $30,069.31 | $68,543.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $30,069.31 / $60,911.07
| Facility | | $3,308.00 | $30,069.31 | $60,911.07 |