- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $41,686.94 / $77,624.71
| Facility | | $26,915.35 | $41,686.94 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $41,686.94 / $51,286.14
| Facility | | $32,359.37 | $41,686.94 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $39,810.72 / $63,095.73
| Facility | | $22,908.68 | $39,810.72 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $34,673.69 / $66,069.34
| Facility | | $18,620.87 | $34,673.69 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $41,686.94 / $53,703.18
| Facility | | $25,703.96 | $41,686.94 | $53,703.18 |