- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,984.60 / $36,660.80 / $54,908.00
| Facility | | $26,984.60 | $36,660.80 | $54,908.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,720.43 / $32,545.10 / $48,636.83
| Facility | | $19,720.43 | $32,545.10 | $48,636.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,540.56 / $32,499.16 / $58,822.00
| Facility | | $23,540.56 | $32,499.16 | $58,822.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $176.47 / $335.49 / $549.30
| Facility | | $176.47 | $335.49 | $549.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,928.74 / $35,884.36 / $59,057.29
| Facility | | $25,928.74 | $35,884.36 | $59,057.29 |