- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $42,657.95 / $44,668.36
| Facility | | $36,307.81 | $42,657.95 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $45,708.82 / $66,069.34
| Facility | | $26,302.68 | $45,708.82 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $38,018.94 / $67,608.30
| Facility | | $27,542.29 | $38,018.94 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $36,307.81 / $45,708.82
| Facility | | $31,622.78 | $36,307.81 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $42,657.95 / $60,255.96
| Facility | | $26,302.68 | $42,657.95 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $27,542.29 / $35,481.34
| Facility | | $302.00 | $27,542.29 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $48,977.88 / $51,286.14
| Facility | | $39,810.72 | $48,977.88 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $45,708.82 / $61,659.50
| Facility | | $26,915.35 | $45,708.82 | $61,659.50 |