- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $43,651.58 / $57,543.99
| Facility | | $22,387.21 | $43,651.58 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $31,622.78 / $50,118.72
| Facility | | $20,892.96 | $31,622.78 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $44,668.36 / $61,659.50
| Facility | | $21,877.62 | $44,668.36 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $30,902.95 / $60,255.96
| Facility | | $10,232.93 | $30,902.95 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $28,840.32 / $64,565.42
| Facility | | $7,079.46 | $28,840.32 | $64,565.42 |