- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,886.69 / $35,886.69 / $42,532.80
| Facility | | $35,886.69 | $35,886.69 | $42,532.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,896.72 / $42,135.34 / $63,031.90
| Facility | | $25,896.72 | $42,135.34 | $63,031.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,350.88 / $36,327.93 / $61,807.76
| Facility | | $29,350.88 | $36,327.93 | $61,807.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,259.73 / $42,133.80 / $68,966.96
| Facility | | $26,259.73 | $42,133.80 | $68,966.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.95 / $24,043.05 / $35,192.24
| Facility | | $380.95 | $24,043.05 | $35,192.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,882.29 / $41,626.40 / $48,921.46
| Facility | | $29,882.29 | $41,626.40 | $48,921.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,968.75 / $44,400.64 / $55,970.63
| Facility | | $26,968.75 | $44,400.64 | $55,970.63 |