- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $28,183.83 / $77,624.71
| Facility | | $18,197.01 | $28,183.83 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $44,668.36 / $69,183.10
| Facility | | $30,902.95 | $44,668.36 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $38,018.94 / $51,286.14
| Facility | | $24,547.09 | $38,018.94 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112,201.85 / $131,825.67 / $131,825.67
| Facility | | $112,201.85 | $131,825.67 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $43,651.58 / $72,443.60
| Facility | | $3,801.89 | $43,651.58 | $72,443.60 |