- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,788.30 / $26,212.30 / $45,861.60
| Facility | | $19,788.30 | $26,212.30 | $45,861.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,095.99 / $21,191.51 / $30,725.30
| Facility | | $13,095.99 | $21,191.51 | $30,725.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $22,708.16 / $45,694.51
| Facility | | $5,939.30 | $22,708.16 | $45,694.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,922.69 / $25,148.53 / $40,946.40
| Facility | | $14,922.69 | $25,148.53 | $40,946.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $27,013.04 / $41,259.08
| Facility | | $3,496.00 | $27,013.04 | $41,259.08 |