- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $21,877.62 / $35,481.34
| Facility | | $8,709.64 | $21,877.62 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $10,471.29 / $16,982.44
| Facility | | $10,471.29 | $10,471.29 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $26,915.35 / $30,199.52
| Facility | | $13,489.63 | $26,915.35 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $16,982.44 / $27,542.29
| Facility | | $5,754.40 | $16,982.44 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $22,908.68 / $38,018.94
| Facility | | $14,454.40 | $22,908.68 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $36,307.81 / $36,307.81
| Facility | | $25,118.86 | $36,307.81 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $27,542.29 / $42,657.95
| Facility | | $15,135.61 | $27,542.29 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $17,782.79 / $17,782.79
| Facility | | $17,782.79 | $17,782.79 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,128.61 / $13,489.63 / $27,542.29
| Facility | | $5,128.61 | $13,489.63 | $27,542.29 |