- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,425.40 / $31,245.40 / $50,721.10
| Facility | | $21,425.40 | $31,245.40 | $50,721.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,153.69 / $54,241.18 / $69,539.98
| Facility | | $38,153.69 | $54,241.18 | $69,539.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,158.45 / $46,860.92 / $58,273.52
| Facility | | $25,158.45 | $46,860.92 | $58,273.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,353.80 / $33,602.19 / $53,731.30
| Facility | | $22,353.80 | $33,602.19 | $53,731.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,142.56 / $44,704.10 / $67,918.52
| Facility | | $26,142.56 | $44,704.10 | $67,918.52 |