- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $42,657.95 / $70,794.58
| Facility | | $28,183.83 | $42,657.95 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $33,113.11 / $56,234.13
| Facility | | $24,547.09 | $33,113.11 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $28,183.83 / $36,307.81
| Facility | | $22,908.68 | $28,183.83 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $36,307.81 / $52,480.75
| Facility | | $22,908.68 | $36,307.81 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $33,884.42 / $45,708.82
| Facility | | $24,547.09 | $33,884.42 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $38,018.94 / $53,703.18
| Facility | | $13,182.57 | $38,018.94 | $53,703.18 |