- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,796.50 / $29,514.80 / $51,919.90
| Facility | | $15,796.50 | $29,514.80 | $51,919.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.00 / $27,337.45 / $31,373.11
| Facility | | $11,231.00 | $27,337.45 | $31,373.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,046.32 / $25,379.86 / $40,039.18
| Facility | | $16,046.32 | $25,379.86 | $40,039.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,909.13 / $28,125.51 / $53,208.81
| Facility | | $14,909.13 | $28,125.51 | $53,208.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,047.00 / $26,878.74 / $36,503.47
| Facility | | $7,047.00 | $26,878.74 | $36,503.47 |