- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,857.50 / $47,788.80 / $55,889.20
| Facility | | $30,857.50 | $47,788.80 | $55,889.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,132.09 / $45,614.46 / $62,691.84
| Facility | | $30,132.09 | $45,614.46 | $62,691.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,507.00 / $40,126.83 / $61,513.66
| Facility | | $16,507.00 | $40,126.83 | $61,513.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,558.00 / $41,070.00 / $57,632.00
| Facility | | $17,558.00 | $41,070.00 | $57,632.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $44,568.52 / $73,473.96
| Facility | | $5,274.00 | $44,568.52 | $73,473.96 |