- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,578.20 / $30,320.60 / $34,296.80
| Facility | | $19,578.20 | $30,320.60 | $34,296.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,360.80 / $27,794.89 / $39,204.08
| Facility | | $18,360.80 | $27,794.89 | $39,204.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,079.02 / $28,149.74 / $38,577.31
| Facility | | $18,079.02 | $28,149.74 | $38,577.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,534.00 / $26,741.00 / $36,164.00
| Facility | | $18,534.00 | $26,741.00 | $36,164.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $35,026.23 / $46,617.10
| Facility | | $5,274.00 | $35,026.23 | $46,617.10 |