- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,357.09 / $29,727.40 / $39,072.10
| Facility | | $20,357.09 | $29,727.40 | $39,072.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,341.84 / $21,341.84 / $21,341.84
| Facility | | $21,341.84 | $21,341.84 | $21,341.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,081.73 / $22,188.79 / $37,226.28
| Facility | | $8,081.73 | $22,188.79 | $37,226.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,426.79 / $29,997.15 / $53,506.44
| Facility | | $21,426.79 | $29,997.15 | $53,506.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,606.47 / $33,323.64 / $48,655.23
| Facility | | $25,606.47 | $33,323.64 | $48,655.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,606.47 / $30,978.76 / $48,655.23
| Facility | | $25,606.47 | $30,978.76 | $48,655.23 |