- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,433.70 / $38,087.69 / $54,442.10
| Facility | | $23,433.70 | $38,087.69 | $54,442.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,601.76 / $34,404.19 / $51,547.22
| Facility | | $21,601.76 | $34,404.19 | $51,547.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,886.04 / $34,356.66 / $62,184.00
| Facility | | $24,886.04 | $34,356.66 | $62,184.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.55 / $354.67 / $617.02
| Facility | | $186.55 | $354.67 | $617.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,008.46 / $37,885.60 / $60,138.15
| Facility | | $26,008.46 | $37,885.60 | $60,138.15 |