- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,585.50 / $31,063.30 / $50,015.90
| Facility | | $13,585.50 | $31,063.30 | $50,015.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $17,996.57 / $46,501.52
| Facility | | $1,474.01 | $17,996.57 | $46,501.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,485.86 / $32,478.71 / $46,010.00
| Facility | | $22,485.86 | $32,478.71 | $46,010.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,655.11 / $26,577.01 / $57,209.02
| Facility | | $19,655.11 | $26,577.01 | $57,209.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,454.11 / $27,240.79 / $57,947.70
| Facility | | $18,454.11 | $27,240.79 | $57,947.70 |