- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $34,764.19 / $56,775.80
| Facility | | $6,303.00 | $34,764.19 | $56,775.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,915.50 / $63,149.57 / $84,733.09
| Facility | | $45,915.50 | $63,149.57 | $84,733.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,619.71 / $51,661.86 / $72,421.44
| Facility | | $37,619.71 | $51,661.86 | $72,421.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,751.36 / $57,376.29 / $72,332.74
| Facility | | $32,751.36 | $57,376.29 | $72,332.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,751.36 / $57,853.91 / $75,863.75
| Facility | | $32,751.36 | $57,853.91 | $75,863.75 |