- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,645.90 / $28,413.90 / $46,184.50
| Facility | | $16,645.90 | $28,413.90 | $46,184.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,133.67 / $31,133.67 / $31,133.67
| Facility | | $31,133.67 | $31,133.67 | $31,133.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,273.75 / $22,576.25 / $35,616.21
| Facility | | $14,273.75 | $22,576.25 | $35,616.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,558.06 / $20,622.64 / $37,721.15
| Facility | | $11,558.06 | $20,622.64 | $37,721.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,640.43 / $25,691.39 / $34,201.11
| Facility | | $16,640.43 | $25,691.39 | $34,201.11 |