- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $35,481.34 / $38,018.94
| Facility | | $21,379.62 | $35,481.34 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $35,481.34 / $48,977.88
| Facility | | $23,988.33 | $35,481.34 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $31,622.78 / $42,657.95
| Facility | | $19,952.62 | $31,622.78 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,183.83 / $38,904.51
| Facility | | $19,054.61 | $28,183.83 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $26,302.68 / $50,118.72
| Facility | | $4,466.84 | $26,302.68 | $50,118.72 |