- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $28,840.32 / $46,773.51
| Facility | | $12,589.25 | $28,840.32 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $20,892.96 / $29,512.09
| Facility | | $20,892.96 | $20,892.96 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $16,218.10 / $26,915.35
| Facility | | $6,025.60 | $16,218.10 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $27,542.29 / $45,708.82
| Facility | | $19,498.45 | $27,542.29 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $15,135.61 / $36,307.81
| Facility | | $10,715.19 | $15,135.61 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $15,135.61 / $36,307.81
| Facility | | $9,772.37 | $15,135.61 | $36,307.81 |