- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $31,622.78 / $50,118.72
| Facility | | $22,908.68 | $31,622.78 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $26,915.35 / $41,686.94
| Facility | | $19,054.61 | $26,915.35 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $26,915.35 / $47,863.01
| Facility | | $9,549.93 | $26,915.35 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $25,703.96 / $42,657.95
| Facility | | $7,585.78 | $25,703.96 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $20,892.96 / $35,481.34
| Facility | | $13,182.57 | $20,892.96 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $33,884.42 / $47,863.01
| Facility | | $8,709.64 | $33,884.42 | $47,863.01 |