- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,659.09 / $26,041.20 / $45,562.20
| Facility | | $19,659.09 | $26,041.20 | $45,562.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,747.70 / $19,815.93 / $41,680.57
| Facility | | $15,747.70 | $19,815.93 | $41,680.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $23,886.72 / $46,648.68
| Facility | | $5,939.30 | $23,886.72 | $46,648.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,901.83 / $24,984.36 / $40,679.10
| Facility | | $15,901.83 | $24,984.36 | $40,679.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $22,392.41 / $46,098.05
| Facility | | $3,496.00 | $22,392.41 | $46,098.05 |