- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,660.50 / $22,069.10 / $38,612.60
| Facility | | $16,660.50 | $22,069.10 | $38,612.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,020.10 / $14,020.10 / $30,261.00
| Facility | | $14,020.10 | $14,020.10 | $30,261.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $18,102.96 / $35,024.57
| Facility | | $5,939.30 | $18,102.96 | $35,024.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,174.25 / $21,234.76 / $34,474.28
| Facility | | $14,174.25 | $21,234.76 | $34,474.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $22,743.27 / $39,066.67
| Facility | | $3,496.00 | $22,743.27 | $39,066.67 |