- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $40,738.03 / $42,657.95
| Facility | | $34,673.69 | $40,738.03 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $43,651.58 / $63,095.73
| Facility | | $25,118.86 | $43,651.58 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $36,307.81 / $64,565.42
| Facility | | $26,302.68 | $36,307.81 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $34,673.69 / $43,651.58
| Facility | | $30,199.52 | $34,673.69 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $40,738.03 / $66,069.34
| Facility | | $25,118.86 | $40,738.03 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.40 / $25,703.96 / $33,884.42
| Facility | | $288.40 | $25,703.96 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $46,773.51 / $48,977.88
| Facility | | $38,018.94 | $46,773.51 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $43,651.58 / $58,884.37
| Facility | | $25,118.86 | $43,651.58 | $58,884.37 |