- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,082.60 / $34,076.80 / $51,378.00
| Facility | | $25,082.60 | $34,076.80 | $51,378.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,066.41 / $30,259.91 / $45,329.72
| Facility | | $19,066.41 | $30,259.91 | $45,329.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,881.34 / $30,208.49 / $54,676.00
| Facility | | $21,881.34 | $30,208.49 | $54,676.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $164.03 / $311.83 / $542.52
| Facility | | $164.03 | $311.83 | $542.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,101.18 / $33,355.08 / $54,894.70
| Facility | | $24,101.18 | $33,355.08 | $54,894.70 |