- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,049.10 / $36,049.10 / $42,725.30
| Facility | | $36,049.10 | $36,049.10 | $42,725.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,757.23 / $41,908.40 / $62,692.41
| Facility | | $25,757.23 | $41,908.40 | $62,692.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,483.71 / $36,492.33 / $62,087.48
| Facility | | $29,483.71 | $36,492.33 | $62,087.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,378.57 / $42,324.48 / $69,279.08
| Facility | | $26,378.57 | $42,324.48 | $69,279.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $378.90 / $23,913.55 / $35,351.51
| Facility | | $378.90 | $23,913.55 | $35,351.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,017.52 / $41,814.79 / $49,142.86
| Facility | | $30,017.52 | $41,814.79 | $49,142.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,090.81 / $44,601.58 / $56,223.93
| Facility | | $27,090.81 | $44,601.58 | $56,223.93 |