- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,427.10 / $33,184.00 / $37,535.69
| Facility | | $21,427.10 | $33,184.00 | $37,535.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,150.64 / $32,018.20 / $45,160.98
| Facility | | $21,150.64 | $32,018.20 | $45,160.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,786.36 / $30,532.45 / $42,220.47
| Facility | | $19,786.36 | $30,532.45 | $42,220.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,896.00 / $27,878.00 / $39,753.00
| Facility | | $18,896.00 | $27,878.00 | $39,753.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $38,334.03 / $51,019.51
| Facility | | $5,274.00 | $38,334.03 | $51,019.51 |