- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $46,773.51 / $61,659.50
| Facility | | $28,840.32 | $46,773.51 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $35,481.34 / $60,255.96
| Facility | | $13,182.57 | $35,481.34 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $36,307.81 / $61,659.50
| Facility | | $25,703.96 | $36,307.81 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $40,738.03 / $58,884.37
| Facility | | $32,359.37 | $40,738.03 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $38,904.51 / $58,884.37
| Facility | | $20,417.38 | $38,904.51 | $58,884.37 |