- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,799.40 / $32,799.40 / $38,873.69
| Facility | | $32,799.40 | $32,799.40 | $38,873.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,412.20 / $38,092.90 / $56,984.66
| Facility | | $23,412.20 | $38,092.90 | $56,984.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,825.85 / $33,202.67 / $56,490.49
| Facility | | $26,825.85 | $33,202.67 | $56,490.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,000.63 / $38,509.07 / $63,033.79
| Facility | | $24,000.63 | $38,509.07 | $63,033.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $344.40 / $21,736.37 / $32,164.68
| Facility | | $344.40 | $21,736.37 | $32,164.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,311.54 / $38,045.32 / $44,712.79
| Facility | | $27,311.54 | $38,045.32 | $44,712.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,648.65 / $40,580.89 / $51,155.52
| Facility | | $24,648.65 | $40,580.89 | $51,155.52 |