- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $28,840.32 / $58,884.37
| Facility | | $25,118.86 | $28,840.32 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $25,703.96 / $39,810.72
| Facility | | $15,488.17 | $25,703.96 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $21,877.62 / $33,113.11
| Facility | | $15,488.17 | $21,877.62 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $18,620.87 / $25,703.96
| Facility | | $10,715.19 | $18,620.87 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $23,442.29 / $38,018.94
| Facility | | $19,054.61 | $23,442.29 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $19,952.62 / $25,118.86
| Facility | | $15,135.61 | $19,952.62 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $22,908.68 / $30,902.95
| Facility | | $7,585.78 | $22,908.68 | $30,902.95 |