- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $43,651.58 / $50,118.72
| Facility | | $32,359.37 | $43,651.58 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $30,199.52 / $30,199.52
| Facility | | $30,199.52 | $30,199.52 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $41,686.94 / $54,954.09
| Facility | | $23,442.29 | $41,686.94 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $32,359.37 / $79,432.82
| Facility | | $20,892.96 | $32,359.37 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $31,622.78 / $46,773.51
| Facility | | $19,498.45 | $31,622.78 | $46,773.51 |