- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,222.20 / $29,491.80 / $38,505.69
| Facility | | $14,222.20 | $29,491.80 | $38,505.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $26,932.06 / $72,118.78
| Facility | | $5,840.42 | $26,932.06 | $72,118.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,663.84 / $27,554.04 / $41,634.48
| Facility | | $16,663.84 | $27,554.04 | $41,634.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,129.57 / $39,129.57 / $39,129.57
| Facility | | $39,129.57 | $39,129.57 | $39,129.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,009.35 / $27,758.21 / $42,865.20
| Facility | | $24,009.35 | $27,758.21 | $42,865.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $26,932.06 / $72,118.78
| Facility | | $5,840.42 | $26,932.06 | $72,118.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $26,932.06 / $56,361.48
| Facility | | $5,840.42 | $26,932.06 | $56,361.48 |