- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $25,118.86 / $67,608.30
| Facility | | $16,218.10 | $25,118.86 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $37,153.52 / $37,153.52
| Facility | | $37,153.52 | $37,153.52 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $38,904.51 / $60,255.96
| Facility | | $26,915.35 | $38,904.51 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,884.42 / $44,668.36
| Facility | | $21,379.62 | $33,884.42 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,723.72 / $97,723.72 / $97,723.72
| Facility | | $97,723.72 | $97,723.72 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $35,481.34 / $51,286.14
| Facility | | $3,801.89 | $35,481.34 | $51,286.14 |