- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,581.10 / $24,581.10 / $29,133.50
| Facility | | $24,581.10 | $24,581.10 | $29,133.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,634.61 / $28,692.45 / $42,922.17
| Facility | | $17,634.61 | $28,692.45 | $42,922.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,104.32 / $24,883.35 / $42,336.14
| Facility | | $20,104.32 | $24,883.35 | $42,336.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,986.99 / $28,860.17 / $47,239.94
| Facility | | $17,986.99 | $28,860.17 | $47,239.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $259.41 / $16,372.34 / $24,105.45
| Facility | | $259.41 | $16,372.34 | $24,105.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,468.31 / $28,512.62 / $33,509.48
| Facility | | $20,468.31 | $28,512.62 | $33,509.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,472.65 / $30,412.88 / $38,337.91
| Facility | | $18,472.65 | $30,412.88 | $38,337.91 |