- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,542.04 / $20,893.70 / $35,276.90
| Facility | | $9,542.04 | $20,893.70 | $35,276.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,363.54 / $33,185.96 / $43,031.97
| Facility | | $22,363.54 | $33,185.96 | $43,031.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,828.72 / $29,784.27 / $43,721.63
| Facility | | $20,828.72 | $29,784.27 | $43,721.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,326.98 / $29,451.15 / $61,760.00
| Facility | | $15,326.98 | $29,451.15 | $61,760.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,828.72 / $32,427.93 / $43,962.67
| Facility | | $20,828.72 | $32,427.93 | $43,962.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,034.37 / $27,425.70 / $41,229.69
| Facility | | $6,034.37 | $27,425.70 | $41,229.69 |