- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,496.09 / $28,470.20 / $37,419.60
| Facility | | $19,496.09 | $28,470.20 | $37,419.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,872.62 / $37,780.37 / $63,900.43
| Facility | | $13,872.62 | $37,780.37 | $63,900.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,805.40 / $28,596.67 / $47,864.37
| Facility | | $19,805.40 | $28,596.67 | $47,864.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,523.48 / $31,914.27 / $46,597.43
| Facility | | $24,523.48 | $31,914.27 | $46,597.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,523.48 / $29,668.56 / $46,597.43
| Facility | | $24,523.48 | $29,668.56 | $46,597.43 |