- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,142.00 / $33,794.10 / $48,918.30
| Facility | | $23,142.00 | $33,794.10 | $48,918.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,452.68 / $26,452.68 / $26,452.68
| Facility | | $26,452.68 | $26,452.68 | $26,452.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,073.46 / $54,667.61 / $92,462.90
| Facility | | $20,073.46 | $54,667.61 | $92,462.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,509.05 / $33,944.31 / $60,826.10
| Facility | | $23,509.05 | $33,944.31 | $60,826.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,109.42 / $37,882.30 / $55,311.24
| Facility | | $29,109.42 | $37,882.30 | $55,311.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,109.42 / $35,216.65 / $55,311.24
| Facility | | $29,109.42 | $35,216.65 | $55,311.24 |