- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,118.30 / $40,715.69 / $71,647.80
| Facility | | $24,118.30 | $40,715.69 | $71,647.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,721.67 / $12,721.67 / $21,226.53
| Facility | | $12,721.67 | $12,721.67 | $21,226.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,818.83 / $27,778.44 / $46,063.53
| Facility | | $18,818.83 | $27,778.44 | $46,063.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,939.37 / $36,907.69 / $50,640.64
| Facility | | $21,939.37 | $36,907.69 | $50,640.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,134.30 / $79,134.30 / $92,870.82
| Facility | | $79,134.30 | $79,134.30 | $92,870.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $35,483.37 / $50,683.93
| Facility | | $1,787.00 | $35,483.37 | $50,683.93 |