- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,562.50 / $33,378.30 / $37,772.90
| Facility | | $21,562.50 | $33,378.30 | $37,772.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,518.87 / $29,547.99 / $41,676.80
| Facility | | $19,518.87 | $29,547.99 | $41,676.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,391.23 / $30,725.42 / $42,487.31
| Facility | | $19,391.23 | $30,725.42 | $42,487.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,162.00 / $26,741.00 / $37,740.00
| Facility | | $16,162.00 | $26,741.00 | $37,740.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $38,576.31 / $51,341.96
| Facility | | $5,274.00 | $38,576.31 | $51,341.96 |