- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,423.80 / $35,765.40 / $62,982.90
| Facility | | $22,423.80 | $35,765.40 | $62,982.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,796.62 / $27,336.43 / $40,626.65
| Facility | | $9,796.62 | $27,336.43 | $40,626.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,734.40 / $27,809.51 / $46,587.43
| Facility | | $20,734.40 | $27,809.51 | $46,587.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,263.22 / $22,998.04 / $27,382.04
| Facility | | $15,263.22 | $22,998.04 | $27,382.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,675.37 / $25,336.85 / $37,190.47
| Facility | | $7,675.37 | $25,336.85 | $37,190.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,792.00 / $27,051.70 / $36,790.31
| Facility | | $18,792.00 | $27,051.70 | $36,790.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,868.86 / $31,557.88 / $44,254.09
| Facility | | $11,868.86 | $31,557.88 | $44,254.09 |