- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $44,668.36 / $75,857.76
| Facility | | $30,199.52 | $44,668.36 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $35,481.34 / $58,884.37
| Facility | | $25,703.96 | $35,481.34 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $31,622.78 / $41,686.94
| Facility | | $21,877.62 | $31,622.78 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $35,481.34 / $52,480.75
| Facility | | $23,988.33 | $35,481.34 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $35,481.34 / $50,118.72
| Facility | | $27,542.29 | $35,481.34 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $40,738.03 / $56,234.13
| Facility | | $13,803.84 | $40,738.03 | $56,234.13 |