- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,665.20 / $21,386.80 / $34,717.40
| Facility | | $14,665.20 | $21,386.80 | $34,717.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,356.89 / $44,578.51 / $57,151.93
| Facility | | $31,356.89 | $44,578.51 | $57,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,220.39 / $33,294.01 / $42,110.90
| Facility | | $17,220.39 | $33,294.01 | $42,110.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,300.70 / $22,999.90 / $36,777.90
| Facility | | $15,300.70 | $22,999.90 | $36,777.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,893.99 / $30,598.94 / $46,488.68
| Facility | | $17,893.99 | $30,598.94 | $46,488.68 |