- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,212.80 / $27,212.80 / $32,252.50
| Facility | | $27,212.80 | $27,212.80 | $32,252.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,814.00 / $32,238.45 / $48,226.77
| Facility | | $19,814.00 | $32,238.45 | $48,226.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,256.69 / $27,547.36 / $46,868.64
| Facility | | $22,256.69 | $27,547.36 | $46,868.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,912.68 / $31,949.94 / $52,297.44
| Facility | | $19,912.68 | $31,949.94 | $52,297.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $291.47 / $18,395.74 / $26,686.17
| Facility | | $291.47 | $18,395.74 | $26,686.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,659.65 / $31,565.18 / $37,097.00
| Facility | | $22,659.65 | $31,565.18 | $37,097.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,450.33 / $33,668.87 / $42,442.36
| Facility | | $20,450.33 | $33,668.87 | $42,442.36 |