- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,310.69 / $34,310.69 / $40,665.00
| Facility | | $34,310.69 | $34,310.69 | $40,665.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,624.98 / $44,947.32 / $67,238.45
| Facility | | $27,624.98 | $44,947.32 | $67,238.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,061.92 / $34,732.57 / $59,093.44
| Facility | | $28,061.92 | $34,732.57 | $59,093.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,106.52 / $40,283.47 / $65,938.24
| Facility | | $25,106.52 | $40,283.47 | $65,938.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $406.38 / $25,647.61 / $36,644.26
| Facility | | $406.38 | $25,647.61 | $36,644.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,569.99 / $39,798.36 / $46,773.05
| Facility | | $28,569.99 | $39,798.36 | $46,773.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,784.41 / $42,450.77 / $53,512.65
| Facility | | $25,784.41 | $42,450.77 | $53,512.65 |