- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,856.80 / $31,350.50 / $44,379.00
| Facility | | $18,856.80 | $31,350.50 | $44,379.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,470.94 / $31,470.94 / $35,262.11
| Facility | | $31,470.94 | $31,470.94 | $35,262.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,088.87 / $28,218.64 / $42,222.14
| Facility | | $17,088.87 | $28,218.64 | $42,222.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,712.16 / $27,419.10 / $42,472.27
| Facility | | $17,712.16 | $27,419.10 | $42,472.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,120.32 / $26,350.90 / $41,358.00
| Facility | | $16,120.32 | $26,350.90 | $41,358.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,813.73 / $34,087.99 / $46,137.65
| Facility | | $10,813.73 | $34,087.99 | $46,137.65 |