- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $53,703.18 / $60,255.96
| Facility | | $38,904.51 | $53,703.18 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $37,153.52 / $37,153.52
| Facility | | $37,153.52 | $37,153.52 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $50,118.72 / $66,069.34
| Facility | | $28,183.83 | $50,118.72 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $38,904.51 / $95,499.26
| Facility | | $25,703.96 | $38,904.51 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $38,018.94 / $56,234.13
| Facility | | $23,442.29 | $38,018.94 | $56,234.13 |