- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $34,673.69 / $51,286.14
| Facility | | $23,988.33 | $34,673.69 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $38,018.94 / $64,565.42
| Facility | | $14,125.38 | $38,018.94 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $28,840.32 / $48,977.88
| Facility | | $21,379.62 | $28,840.32 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $33,113.11 / $47,863.01
| Facility | | $26,302.68 | $33,113.11 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $31,622.78 / $46,773.51
| Facility | | $16,595.87 | $31,622.78 | $46,773.51 |