- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $38,904.51 / $41,686.94
| Facility | | $22,908.68 | $38,904.51 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $38,904.51 / $53,703.18
| Facility | | $25,703.96 | $38,904.51 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $33,113.11 / $45,708.82
| Facility | | $21,877.62 | $33,113.11 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $28,840.32 / $41,686.94
| Facility | | $20,892.96 | $28,840.32 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $37,153.52 / $56,234.13
| Facility | | $4,073.80 | $37,153.52 | $56,234.13 |