- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $45,708.82 / $75,857.76
| Facility | | $30,199.52 | $45,708.82 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $26,302.68 / $26,302.68
| Facility | | $26,302.68 | $26,302.68 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $36,307.81 / $60,255.96
| Facility | | $26,302.68 | $36,307.81 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $30,902.95 / $39,810.72
| Facility | | $24,547.09 | $30,902.95 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $38,904.51 / $57,543.99
| Facility | | $24,547.09 | $38,904.51 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $36,307.81 / $48,977.88
| Facility | | $26,915.35 | $36,307.81 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $40,738.03 / $57,543.99
| Facility | | $14,125.38 | $40,738.03 | $57,543.99 |