- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,274.70 / $34,608.10 / $56,252.80
| Facility | | $20,274.70 | $34,608.10 | $56,252.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,821.41 / $30,821.41 / $30,821.41
| Facility | | $30,821.41 | $30,821.41 | $30,821.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,385.43 / $27,497.88 / $43,380.56
| Facility | | $17,385.43 | $27,497.88 | $43,380.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,841.55 / $26,619.48 / $49,811.68
| Facility | | $14,841.55 | $26,619.48 | $49,811.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,148.50 / $31,503.01 / $44,466.89
| Facility | | $20,148.50 | $31,503.01 | $44,466.89 |