- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,098.90 / $36,015.00 / $58,539.50
| Facility | | $21,098.90 | $36,015.00 | $58,539.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,339.00 / $25,030.03 / $35,578.73
| Facility | | $11,339.00 | $25,030.03 | $35,578.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,092.16 / $28,615.68 / $45,144.00
| Facility | | $18,092.16 | $28,615.68 | $45,144.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,568.27 / $25,731.65 / $48,981.89
| Facility | | $12,568.27 | $25,731.65 | $48,981.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,967.55 / $32,564.16 / $43,350.34
| Facility | | $20,967.55 | $32,564.16 | $43,350.34 |