- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,907.21 / $20,929.09 / $34,642.30
| Facility | | $9,907.21 | $20,929.09 | $34,642.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,593.12 / $36,494.50 / $47,322.13
| Facility | | $24,593.12 | $36,494.50 | $47,322.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,938.88 / $27,800.94 / $44,450.78
| Facility | | $14,938.88 | $27,800.94 | $44,450.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,586.43 / $29,949.70 / $62,805.47
| Facility | | $15,586.43 | $29,949.70 | $62,805.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,647.00 / $29,751.92 / $44,461.75
| Facility | | $17,647.00 | $29,751.92 | $44,461.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $20,090.04 / $38,239.86
| Facility | | $5,281.00 | $20,090.04 | $38,239.86 |