- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $34,673.69 / $35,481.34
| Facility | | $28,840.32 | $34,673.69 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $37,153.52 / $53,703.18
| Facility | | $21,379.62 | $37,153.52 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $33,113.11 / $53,703.18
| Facility | | $22,387.21 | $33,113.11 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $28,840.32 / $37,153.52
| Facility | | $25,118.86 | $28,840.32 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,113.11 / $52,480.75
| Facility | | $21,379.62 | $33,113.11 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $21,877.62 / $28,840.32
| Facility | | $245.47 | $21,877.62 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $28,183.83 / $40,738.03
| Facility | | $25,118.86 | $28,183.83 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $33,884.42 / $54,954.09
| Facility | | $21,877.62 | $33,884.42 | $54,954.09 |