- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,512.10 / $46,444.90 / $81,729.70
| Facility | | $27,512.10 | $46,444.90 | $81,729.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,914.46 / $29,634.50 / $48,347.23
| Facility | | $19,914.46 | $29,634.50 | $48,347.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,026.54 / $42,101.12 / $57,766.48
| Facility | | $25,026.54 | $42,101.12 | $57,766.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88,003.85 / $88,003.85 / $103,279.99
| Facility | | $88,003.85 | $88,003.85 | $103,279.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $36,884.69 / $57,506.40
| Facility | | $2,520.00 | $36,884.69 | $57,506.40 |