- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,481.80 / $42,128.00 / $69,942.50
| Facility | | $27,481.80 | $42,128.00 | $69,942.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,930.89 / $38,165.23 / $65,675.63
| Facility | | $24,930.89 | $38,165.23 | $65,675.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,313.04 / $46,050.45 / $80,427.56
| Facility | | $36,313.04 | $46,050.45 | $80,427.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,710.53 / $45,111.38 / $111,481.06
| Facility | | $21,710.53 | $45,111.38 | $111,481.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,710.53 / $43,070.72 / $60,533.77
| Facility | | $21,710.53 | $43,070.72 | $60,533.77 |