- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,656.80 / $39,670.10 / $56,168.60
| Facility | | $21,656.80 | $39,670.10 | $56,168.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,095.95 / $37,041.92 / $57,820.09
| Facility | | $23,095.95 | $37,041.92 | $57,820.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,516.56 / $35,685.33 / $63,489.88
| Facility | | $22,516.56 | $35,685.33 | $63,489.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $33,669.08 / $75,076.89
| Facility | | $7,117.00 | $33,669.08 | $75,076.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $32,935.58 / $66,717.25
| Facility | | $3,308.00 | $32,935.58 | $66,717.25 |