- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,237.20 / $23,679.20 / $38,438.90
| Facility | | $16,237.20 | $23,679.20 | $38,438.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,901.60 / $62,412.68 / $80,016.25
| Facility | | $43,901.60 | $62,412.68 | $80,016.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,066.29 / $36,862.87 / $45,619.54
| Facility | | $19,066.29 | $36,862.87 | $45,619.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,940.80 / $25,465.30 / $40,720.19
| Facility | | $16,940.80 | $25,465.30 | $40,720.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,812.09 / $33,878.92 / $51,471.92
| Facility | | $19,812.09 | $33,878.92 | $51,471.92 |