- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,292.30 / $20,292.30 / $24,050.40
| Facility | | $20,292.30 | $20,292.30 | $24,050.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,412.02 / $21,822.08 / $32,644.50
| Facility | | $13,412.02 | $21,822.08 | $32,644.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,596.58 / $20,541.78 / $34,949.46
| Facility | | $16,596.58 | $20,541.78 | $34,949.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,848.68 / $23,824.74 / $38,997.66
| Facility | | $14,848.68 | $23,824.74 | $38,997.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $197.30 / $12,452.00 / $19,729.72
| Facility | | $197.30 | $12,452.00 | $19,729.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,897.07 / $23,537.83 / $27,662.85
| Facility | | $16,897.07 | $23,537.83 | $27,662.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,249.60 / $25,106.53 / $31,648.83
| Facility | | $15,249.60 | $25,106.53 | $31,648.83 |