- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,873.20 / $32,567.10 / $54,986.30
| Facility | | $14,873.20 | $32,567.10 | $54,986.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,613.00 / $42,804.45 / $64,055.74
| Facility | | $1,613.00 | $42,804.45 | $64,055.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,465.85 / $46,424.91 / $68,149.16
| Facility | | $32,465.85 | $46,424.91 | $68,149.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,890.25 / $45,905.68 / $96,265.67
| Facility | | $23,890.25 | $45,905.68 | $96,265.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,465.85 / $50,545.60 / $68,524.87
| Facility | | $32,465.85 | $50,545.60 | $68,524.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $41,651.37 / $64,264.97
| Facility | | $9,114.00 | $41,651.37 | $64,264.97 |