- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,431.00 / $28,336.90 / $45,999.70
| Facility | | $19,431.00 | $28,336.90 | $45,999.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,492.02 / $43,492.02 / $43,492.02
| Facility | | $43,492.02 | $43,492.02 | $43,492.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,108.27 / $42,803.40 / $54,876.15
| Facility | | $30,108.27 | $42,803.40 | $54,876.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,816.56 / $43,069.49 / $52,849.08
| Facility | | $22,816.56 | $43,069.49 | $52,849.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,273.00 / $30,474.30 / $48,729.70
| Facility | | $20,273.00 | $30,474.30 | $48,729.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,709.06 / $40,542.78 / $61,596.27
| Facility | | $23,709.06 | $40,542.78 | $61,596.27 |