- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $33,113.11 / $34,673.69
| Facility | | $28,183.83 | $33,113.11 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $35,481.34 / $51,286.14
| Facility | | $20,417.38 | $35,481.34 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $29,512.09 / $52,480.75
| Facility | | $21,877.62 | $29,512.09 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $28,183.83 / $35,481.34
| Facility | | $24,547.09 | $28,183.83 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $33,113.11 / $53,703.18
| Facility | | $20,417.38 | $33,113.11 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $21,379.62 / $27,542.29
| Facility | | $234.42 | $21,379.62 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $38,018.94 / $39,810.72
| Facility | | $30,902.95 | $38,018.94 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $35,481.34 / $47,863.01
| Facility | | $21,379.62 | $35,481.34 | $47,863.01 |