- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,047.90 / $27,815.60 / $36,559.30
| Facility | | $19,047.90 | $27,815.60 | $36,559.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,555.44 / $17,998.29 / $30,195.85
| Facility | | $6,555.44 | $17,998.29 | $30,195.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,350.05 / $27,939.20 / $46,763.92
| Facility | | $19,350.05 | $27,939.20 | $46,763.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,959.66 / $31,180.52 / $45,526.10
| Facility | | $23,959.66 | $31,180.52 | $45,526.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,959.66 / $28,986.45 / $45,526.10
| Facility | | $23,959.66 | $28,986.45 | $45,526.10 |