- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $48,977.88 / $52,480.75
| Facility | | $28,840.32 | $48,977.88 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $47,863.01 / $67,608.30
| Facility | | $32,359.37 | $47,863.01 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $38,904.51 / $58,884.37
| Facility | | $16,218.10 | $38,904.51 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $34,673.69 / $52,480.75
| Facility | | $15,488.17 | $34,673.69 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $41,686.94 / $69,183.10
| Facility | | $4,073.80 | $41,686.94 | $69,183.10 |