- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,356.80 / $38,437.00 / $62,395.30
| Facility | | $26,356.80 | $38,437.00 | $62,395.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,465.42 / $66,057.53 / $84,689.15
| Facility | | $46,465.42 | $66,057.53 | $84,689.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,949.08 / $53,846.94 / $71,686.10
| Facility | | $30,949.08 | $53,846.94 | $71,686.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,498.90 / $41,336.19 / $66,098.50
| Facility | | $27,498.90 | $41,336.19 | $66,098.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,159.69 / $54,993.46 / $83,551.06
| Facility | | $32,159.69 | $54,993.46 | $83,551.06 |