- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $29,512.09 / $46,773.51
| Facility | | $21,379.62 | $29,512.09 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $25,118.86 / $35,481.34
| Facility | | $14,454.40 | $25,118.86 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $35,481.34 / $51,286.14
| Facility | | $32,359.37 | $35,481.34 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $33,113.11 / $45,708.82
| Facility | | $30,902.95 | $33,113.11 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $19,498.45 / $25,703.96
| Facility | | $12,589.25 | $19,498.45 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $31,622.78 / $45,708.82
| Facility | | $8,709.64 | $31,622.78 | $45,708.82 |