- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $35,481.34 / $57,543.99
| Facility | | $14,125.38 | $35,481.34 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $29,512.09 / $50,118.72
| Facility | | $10,964.78 | $29,512.09 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $32,359.37 / $54,954.09
| Facility | | $22,387.21 | $32,359.37 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $37,153.52 / $53,703.18
| Facility | | $29,512.09 | $37,153.52 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $35,481.34 / $52,480.75
| Facility | | $18,620.87 | $35,481.34 | $52,480.75 |