- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,211.70 / $26,773.20 / $46,842.90
| Facility | | $20,211.70 | $26,773.20 | $46,842.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,855.59 / $24,895.36 / $30,001.08
| Facility | | $17,855.59 | $24,895.36 | $30,001.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $21,437.62 / $38,716.08
| Facility | | $5,939.30 | $21,437.62 | $38,716.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,242.00 / $25,686.65 / $41,822.55
| Facility | | $15,242.00 | $25,686.65 | $41,822.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $29,617.12 / $47,393.82
| Facility | | $3,496.00 | $29,617.12 | $47,393.82 |