- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $22,387.21 / $46,773.51
| Facility | | $10,232.93 | $22,387.21 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $39,810.72 / $48,977.88
| Facility | | $26,302.68 | $39,810.72 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $33,884.42 / $43,651.58
| Facility | | $20,417.38 | $33,884.42 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $29,512.09 / $74,131.02
| Facility | | $16,595.87 | $29,512.09 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $19,952.62 / $39,810.72
| Facility | | $8,317.64 | $19,952.62 | $39,810.72 |