- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,447.59 / $32,830.69 / $57,772.60
| Facility | | $19,447.59 | $32,830.69 | $57,772.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,107.56 / $21,203.30 / $34,531.60
| Facility | | $14,107.56 | $21,203.30 | $34,531.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,690.61 / $29,760.19 / $40,833.62
| Facility | | $17,690.61 | $29,760.19 | $40,833.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,548.15 / $59,548.15 / $69,884.81
| Facility | | $59,548.15 | $59,548.15 | $69,884.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $28,611.69 / $40,868.53
| Facility | | $1,787.00 | $28,611.69 | $40,868.53 |