- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,864.50 / $25,373.10 / $41,241.90
| Facility | | $14,864.50 | $25,373.10 | $41,241.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,045.43 / $29,045.43 / $29,274.00
| Facility | | $29,045.43 | $29,045.43 | $29,274.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,746.18 / $20,160.14 / $31,804.58
| Facility | | $12,746.18 | $20,160.14 | $31,804.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,527.14 / $19,793.39 / $36,659.57
| Facility | | $10,527.14 | $19,793.39 | $36,659.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,553.00 / $21,056.15 / $28,963.16
| Facility | | $6,553.00 | $21,056.15 | $28,963.16 |