- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,929.80 / $30,522.60 / $49,547.80
| Facility | | $20,929.80 | $30,522.60 | $49,547.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,272.04 / $39,272.04 / $41,623.00
| Facility | | $39,272.04 | $39,272.04 | $41,623.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,234.60 / $87,054.12 / $111,607.85
| Facility | | $61,234.60 | $87,054.12 | $111,607.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,576.50 / $45,776.96 / $56,925.57
| Facility | | $24,576.50 | $45,776.96 | $56,925.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,836.80 / $32,824.90 / $52,488.50
| Facility | | $21,836.80 | $32,824.90 | $52,488.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,537.84 / $43,670.03 / $66,347.47
| Facility | | $25,537.84 | $43,670.03 | $66,347.47 |