- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $38,904.51 / $51,286.14
| Facility | | $35,481.34 | $38,904.51 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $46,773.51 / $67,608.30
| Facility | | $36,307.81 | $46,773.51 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $42,657.95 / $51,286.14
| Facility | | $22,387.21 | $42,657.95 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $44,668.36 / $61,659.50
| Facility | | $22,387.21 | $44,668.36 | $61,659.50 |