- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,513.10 / $35,584.30 / $78,005.80
| Facility | | $22,513.10 | $35,584.30 | $78,005.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,211.56 / $29,661.65 / $49,068.51
| Facility | | $20,211.56 | $29,661.65 | $49,068.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,886.24 / $40,182.83 / $55,134.43
| Facility | | $23,886.24 | $40,182.83 | $55,134.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,331.00 / $74,345.75 / $87,251.05
| Facility | | $49,331.00 | $74,345.75 | $87,251.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $40,210.00 / $54,886.20
| Facility | | $2,520.00 | $40,210.00 | $54,886.20 |