- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,306.51 / $20,377.90 / $34,406.10
| Facility | | $9,306.51 | $20,377.90 | $34,406.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,629.81 / $35,012.55 / $48,501.89
| Facility | | $23,629.81 | $35,012.55 | $48,501.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,314.61 / $29,049.10 / $42,642.45
| Facility | | $20,314.61 | $29,049.10 | $42,642.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,948.66 / $28,724.21 / $60,235.57
| Facility | | $14,948.66 | $28,724.21 | $60,235.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,314.61 / $31,627.50 / $42,877.54
| Facility | | $20,314.61 | $31,627.50 | $42,877.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,885.43 / $26,748.75 / $40,212.01
| Facility | | $5,885.43 | $26,748.75 | $40,212.01 |