- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,531.60 / $27,531.60 / $32,630.30
| Facility | | $27,531.60 | $27,531.60 | $32,630.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,871.75 / $32,332.42 / $48,367.34
| Facility | | $19,871.75 | $32,332.42 | $48,367.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,517.43 / $27,870.09 / $47,417.72
| Facility | | $22,517.43 | $27,870.09 | $47,417.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,145.96 / $32,324.24 / $52,910.12
| Facility | | $20,145.96 | $32,324.24 | $52,910.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $292.32 / $18,449.36 / $26,998.81
| Facility | | $292.32 | $18,449.36 | $26,998.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,925.11 / $31,934.97 / $37,531.60
| Facility | | $22,925.11 | $31,934.97 | $37,531.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,689.91 / $34,063.32 / $42,939.58
| Facility | | $20,689.91 | $34,063.32 | $42,939.58 |