- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,497.10 / $31,497.10 / $37,330.30
| Facility | | $31,497.10 | $31,497.10 | $37,330.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,610.18 / $36,787.97 / $55,032.57
| Facility | | $22,610.18 | $36,787.97 | $55,032.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,760.74 / $31,884.36 / $54,247.55
| Facility | | $25,760.74 | $31,884.36 | $54,247.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,047.69 / $37,231.83 / $60,531.05
| Facility | | $23,047.69 | $37,231.83 | $60,531.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.61 / $20,991.76 / $30,887.59
| Facility | | $332.61 | $20,991.76 | $30,887.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,227.14 / $36,534.74 / $42,937.48
| Facility | | $26,227.14 | $36,534.74 | $42,937.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,669.99 / $39,209.04 / $49,124.40
| Facility | | $23,669.99 | $39,209.04 | $49,124.40 |