- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,449.30 / $36,360.40 / $63,616.90
| Facility | | $27,449.30 | $36,360.40 | $63,616.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,344.51 / $27,457.16 / $33,800.78
| Facility | | $24,344.51 | $27,457.16 | $33,800.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $28,378.60 / $58,971.44
| Facility | | $5,939.30 | $28,378.60 | $58,971.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,470.00 / $34,884.76 / $56,798.78
| Facility | | $17,470.00 | $34,884.76 | $56,798.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $37,471.12 / $56,401.80
| Facility | | $3,496.00 | $37,471.12 | $56,401.80 |