- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $28,183.83 / $56,234.13
| Facility | | $23,988.33 | $28,183.83 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $24,547.09 / $37,153.52
| Facility | | $15,135.61 | $24,547.09 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $20,892.96 / $32,359.37
| Facility | | $17,782.79 | $20,892.96 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $17,378.01 / $21,877.62
| Facility | | $14,791.08 | $17,378.01 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $22,908.68 / $37,153.52
| Facility | | $18,197.01 | $22,908.68 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $19,952.62 / $25,703.96
| Facility | | $14,125.38 | $19,952.62 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $22,908.68 / $27,542.29
| Facility | | $17,378.01 | $22,908.68 | $27,542.29 |