- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $38,904.51 / $66,069.34
| Facility | | $26,302.68 | $38,904.51 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $30,902.95 / $51,286.14
| Facility | | $22,387.21 | $30,902.95 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $25,703.96 / $33,113.11
| Facility | | $19,952.62 | $25,703.96 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $32,359.37 / $46,773.51
| Facility | | $20,417.38 | $32,359.37 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $30,902.95 / $42,657.95
| Facility | | $22,908.68 | $30,902.95 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $35,481.34 / $48,977.88
| Facility | | $12,022.64 | $35,481.34 | $48,977.88 |