- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,177.70 / $46,989.00 / $61,759.80
| Facility | | $32,177.70 | $46,989.00 | $61,759.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,179.98 / $51,727.04 / $87,489.31
| Facility | | $19,179.98 | $51,727.04 | $87,489.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,868.54 / $47,415.37 / $86,098.24
| Facility | | $33,868.54 | $47,415.37 | $86,098.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,475.19 / $52,673.43 / $76,907.50
| Facility | | $40,475.19 | $52,673.43 | $76,907.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,475.19 / $48,966.98 / $76,907.50
| Facility | | $40,475.19 | $48,966.98 | $76,907.50 |