- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,495.70 / $36,996.19 / $54,889.00
| Facility | | $25,495.70 | $36,996.19 | $54,889.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,502.66 / $33,419.32 / $47,568.02
| Facility | | $20,502.66 | $33,419.32 | $47,568.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,172.88 / $33,372.11 / $60,402.00
| Facility | | $24,172.88 | $33,372.11 | $60,402.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.21 / $344.50 / $564.05
| Facility | | $181.21 | $344.50 | $564.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,625.20 / $36,848.24 / $60,643.61
| Facility | | $26,625.20 | $36,848.24 | $60,643.61 |