- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,096.40 / $29,346.70 / $38,571.60
| Facility | | $20,096.40 | $29,346.70 | $38,571.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,411.95 / $25,632.31 / $43,353.60
| Facility | | $9,411.95 | $25,632.31 | $43,353.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,415.16 / $29,477.10 / $49,338.00
| Facility | | $20,415.16 | $29,477.10 | $49,338.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,278.50 / $32,896.83 / $48,032.05
| Facility | | $25,278.50 | $32,896.83 | $48,032.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,278.50 / $30,581.99 / $48,032.05
| Facility | | $25,278.50 | $30,581.99 | $48,032.05 |