- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,557.70 / $44,016.10 / $77,429.30
| Facility | | $23,557.70 | $44,016.10 | $77,429.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,459.49 / $38,979.36 / $46,594.06
| Facility | | $37,459.49 | $38,979.36 | $46,594.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,360.45 / $37,849.54 / $59,711.30
| Facility | | $23,360.45 | $37,849.54 | $59,711.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,466.36 / $30,905.13 / $60,289.56
| Facility | | $16,466.36 | $30,905.13 | $60,289.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,047.00 / $39,374.00 / $54,376.71
| Facility | | $7,047.00 | $39,374.00 | $54,376.71 |