- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $29,512.09 / $33,884.42
| Facility | | $22,908.68 | $29,512.09 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $37,153.52 / $37,153.52
| Facility | | $37,153.52 | $37,153.52 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $32,359.37 / $38,904.51
| Facility | | $27,542.29 | $32,359.37 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $33,113.11 / $41,686.94
| Facility | | $20,892.96 | $33,113.11 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $42,657.95 / $42,657.95
| Facility | | $42,657.95 | $42,657.95 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,862.09 / $33,113.11 / $43,651.58
| Facility | | $1,862.09 | $33,113.11 | $43,651.58 |