- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,920.10 / $41,691.10 / $48,757.80
| Facility | | $26,920.10 | $41,691.10 | $48,757.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,800.76 / $39,217.33 / $55,582.97
| Facility | | $25,800.76 | $39,217.33 | $55,582.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,858.78 / $35,006.74 / $53,664.65
| Facility | | $24,858.78 | $35,006.74 | $53,664.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,606.00 / $37,345.00 / $50,278.00
| Facility | | $24,606.00 | $37,345.00 | $50,278.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $37,383.17 / $64,098.84
| Facility | | $5,274.00 | $37,383.17 | $64,098.84 |