- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $42,657.95 / $64,565.42
| Facility | | $29,512.09 | $42,657.95 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $35,481.34 / $54,954.09
| Facility | | $24,547.09 | $35,481.34 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $44,668.36 / $66,069.34
| Facility | | $27,542.29 | $44,668.36 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $38,018.94 / $60,255.96
| Facility | | $23,988.33 | $38,018.94 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $27,542.29 / $46,773.51
| Facility | | $17,378.01 | $27,542.29 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $44,668.36 / $63,095.73
| Facility | | $10,471.29 | $44,668.36 | $63,095.73 |