- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,608.30 / $34,791.10 / $50,393.00
| Facility | | $25,608.30 | $34,791.10 | $50,393.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,392.25 / $30,890.78 / $45,327.39
| Facility | | $19,392.25 | $30,890.78 | $45,327.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,516.59 / $29,753.13 / $55,403.34
| Facility | | $21,516.59 | $29,753.13 | $55,403.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $167.47 / $318.38 / $521.29
| Facility | | $167.47 | $318.38 | $521.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,606.34 / $34,054.21 / $56,045.29
| Facility | | $24,606.34 | $34,054.21 | $56,045.29 |