- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $27,542.29 / $44,668.36
| Facility | | $17,782.79 | $27,542.29 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $48,977.88 / $66,069.34
| Facility | | $34,673.69 | $48,977.88 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $40,738.03 / $56,234.13
| Facility | | $33,113.11 | $40,738.03 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $40,738.03 / $53,703.18
| Facility | | $24,547.09 | $40,738.03 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $41,686.94 / $56,234.13
| Facility | | $25,118.86 | $41,686.94 | $56,234.13 |