- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,596.90 / $38,839.40 / $51,048.40
| Facility | | $26,596.90 | $38,839.40 | $51,048.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,269.74 / $29,269.74 / $32,009.05
| Facility | | $29,269.74 | $29,269.74 | $32,009.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,020.87 / $43,630.87 / $73,795.75
| Facility | | $16,020.87 | $43,630.87 | $73,795.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,994.50 / $39,191.82 / $69,907.14
| Facility | | $27,994.50 | $39,191.82 | $69,907.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,455.32 / $43,537.95 / $63,568.95
| Facility | | $33,455.32 | $43,537.95 | $63,568.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,455.32 / $40,474.32 / $63,568.95
| Facility | | $33,455.32 | $40,474.32 | $63,568.95 |