- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $37,153.52 / $45,708.82
| Facility | | $28,840.32 | $37,153.52 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $26,915.35 / $42,657.95
| Facility | | $11,748.98 | $26,915.35 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $31,622.78 / $57,543.99
| Facility | | $14,125.38 | $31,622.78 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $35,481.34 / $64,565.42
| Facility | | $12,589.25 | $35,481.34 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $34,673.69 / $58,884.37
| Facility | | $18,620.87 | $34,673.69 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $33,113.11 / $48,977.88
| Facility | | $21,877.62 | $33,113.11 | $48,977.88 |