- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,110.50 / $33,407.40 / $43,618.10
| Facility | | $16,110.50 | $33,407.40 | $43,618.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,507.81 / $81,693.94
| Facility | | $5,840.42 | $30,507.81 | $81,693.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,876.29 / $31,212.36 / $47,162.25
| Facility | | $18,876.29 | $31,212.36 | $47,162.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,324.77 / $44,324.77 / $44,324.77
| Facility | | $44,324.77 | $44,324.77 | $44,324.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,197.05 / $31,443.64 / $48,556.37
| Facility | | $27,197.05 | $31,443.64 | $48,556.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,507.81 / $81,693.94
| Facility | | $5,840.42 | $30,507.81 | $81,693.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,507.81 / $63,844.54
| Facility | | $5,840.42 | $30,507.81 | $63,844.54 |