- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $42,657.95 / $63,095.73
| Facility | | $26,302.68 | $42,657.95 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $33,884.42 / $51,286.14
| Facility | | $21,877.62 | $33,884.42 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $39,810.72 / $58,884.37
| Facility | | $24,547.09 | $39,810.72 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,884.42 / $54,954.09
| Facility | | $21,379.62 | $33,884.42 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $24,547.09 / $41,686.94
| Facility | | $15,488.17 | $24,547.09 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $43,651.58 / $56,234.13
| Facility | | $10,471.29 | $43,651.58 | $56,234.13 |