- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,267.40 / $38,009.60 / $61,781.50
| Facility | | $22,267.40 | $38,009.60 | $61,781.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.00 / $22,518.00 / $34,480.87
| Facility | | $11,231.00 | $22,518.00 | $34,480.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,094.14 / $30,200.47 / $47,644.16
| Facility | | $19,094.14 | $30,200.47 | $47,644.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,390.00 / $23,067.98 / $48,050.85
| Facility | | $11,390.00 | $23,067.98 | $48,050.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $31,542.72 / $43,387.65
| Facility | | $6,842.00 | $31,542.72 | $43,387.65 |