- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $32,359.37 / $60,255.96
| Facility | | $23,442.29 | $32,359.37 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $29,512.09 / $29,512.09
| Facility | | $29,512.09 | $29,512.09 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $32,359.37 / $40,738.03
| Facility | | $20,417.38 | $32,359.37 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $34,673.69 / $64,565.42
| Facility | | $22,387.21 | $34,673.69 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $32,359.37 / $42,657.95
| Facility | | $20,417.38 | $32,359.37 | $42,657.95 |