- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,009.90 / $33,193.10 / $44,542.50
| Facility | | $20,009.90 | $33,193.10 | $44,542.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,130.84 / $14,130.84 / $19,497.09
| Facility | | $14,130.84 | $14,130.84 | $19,497.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,595.90 / $27,315.13 / $43,705.26
| Facility | | $15,595.90 | $27,315.13 | $43,705.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,430.84 / $26,725.50 / $61,292.26
| Facility | | $16,430.84 | $26,725.50 | $61,292.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,392.02 / $26,326.40 / $37,754.22
| Facility | | $19,392.02 | $26,326.40 | $37,754.22 |