- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,626.50 / $35,962.00 / $47,266.40
| Facility | | $24,626.50 | $35,962.00 | $47,266.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,253.67 / $35,744.21 / $60,456.51
| Facility | | $13,253.67 | $35,744.21 | $60,456.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,920.49 / $36,288.24 / $65,893.27
| Facility | | $25,920.49 | $36,288.24 | $65,893.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,976.74 / $40,312.37 / $58,859.35
| Facility | | $30,976.74 | $40,312.37 | $58,859.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,976.74 / $37,475.73 / $58,859.35
| Facility | | $30,976.74 | $37,475.73 | $58,859.35 |