- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,695.50 / $27,695.50 / $32,824.60
| Facility | | $27,695.50 | $27,695.50 | $32,824.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,715.93 / $32,078.88 / $47,988.06
| Facility | | $19,715.93 | $32,078.88 | $47,988.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,651.49 / $28,036.01 / $47,700.03
| Facility | | $22,651.49 | $28,036.01 | $47,700.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,265.90 / $32,516.69 / $53,225.13
| Facility | | $20,265.90 | $32,516.69 | $53,225.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $290.02 / $18,304.68 / $27,159.55
| Facility | | $290.02 | $18,304.68 | $27,159.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,061.60 / $32,125.10 / $37,755.05
| Facility | | $23,061.60 | $32,125.10 | $37,755.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,813.09 / $34,266.12 / $43,195.23
| Facility | | $20,813.09 | $34,266.12 | $43,195.23 |