- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $43,651.58 / $58,884.37
| Facility | | $25,703.96 | $43,651.58 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $38,904.51 / $38,904.51
| Facility | | $38,904.51 | $38,904.51 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $44,668.36 / $58,884.37
| Facility | | $21,379.62 | $44,668.36 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $37,153.52 / $54,954.09
| Facility | | $23,988.33 | $37,153.52 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $18,197.01 / $50,118.72
| Facility | | $6,165.95 | $18,197.01 | $50,118.72 |