- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $43,651.58 / $61,659.50
| Facility | | $28,840.32 | $43,651.58 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $22,908.68 / $38,018.94
| Facility | | $8,511.38 | $22,908.68 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $36,307.81 / $60,255.96
| Facility | | $25,703.96 | $36,307.81 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $39,810.72 / $57,543.99
| Facility | | $31,622.78 | $39,810.72 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $38,018.94 / $56,234.13
| Facility | | $19,952.62 | $38,018.94 | $56,234.13 |