- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,894.59 / $31,023.20 / $39,530.40
| Facility | | $19,894.59 | $31,023.20 | $39,530.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,939.69 / $37,939.69 / $37,939.69
| Facility | | $37,939.69 | $37,939.69 | $37,939.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,787.71 / $31,779.31 / $37,431.90
| Facility | | $17,787.71 | $31,779.31 | $37,431.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,933.21 / $32,229.24 / $45,150.81
| Facility | | $16,933.21 | $32,229.24 | $45,150.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,626.10 / $35,157.62 / $45,150.81
| Facility | | $30,626.10 | $35,157.62 | $45,150.81 |