- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,137.40 / $22,137.40 / $26,237.20
| Facility | | $22,137.40 | $22,137.40 | $26,237.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,189.67 / $26,341.46 / $39,405.22
| Facility | | $16,189.67 | $26,341.46 | $39,405.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,105.70 / $22,409.63 / $38,127.39
| Facility | | $18,105.70 | $22,409.63 | $38,127.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,198.86 / $25,991.10 / $42,543.69
| Facility | | $16,198.86 | $25,991.10 | $42,543.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $238.16 / $15,030.83 / $21,709.06
| Facility | | $238.16 | $15,030.83 | $21,709.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,433.50 / $25,678.11 / $30,178.21
| Facility | | $18,433.50 | $25,678.11 | $30,178.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,636.23 / $27,389.45 / $34,526.62
| Facility | | $16,636.23 | $27,389.45 | $34,526.62 |