- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,777.40 / $39,050.40 / $63,391.00
| Facility | | $26,777.40 | $39,050.40 | $63,391.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,897.73 / $69,515.42 / $89,122.33
| Facility | | $48,897.73 | $69,515.42 | $89,122.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,442.96 / $54,706.23 / $72,830.07
| Facility | | $31,442.96 | $54,706.23 | $72,830.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,937.80 / $41,995.90 / $67,153.30
| Facility | | $27,937.80 | $41,995.90 | $67,153.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,294.17 / $55,871.05 / $84,884.36
| Facility | | $30,294.17 | $55,871.05 | $84,884.36 |