- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,442.59 / $29,812.10 / $48,394.40
| Facility | | $20,442.59 | $29,812.10 | $48,394.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,355.28 / $77,259.87 / $99,051.12
| Facility | | $54,355.28 | $77,259.87 | $99,051.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,004.42 / $45,311.74 / $55,600.46
| Facility | | $24,004.42 | $45,311.74 | $55,600.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,328.40 / $32,060.80 / $51,266.60
| Facility | | $21,328.40 | $32,060.80 | $51,266.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,943.38 / $42,653.48 / $64,803.04
| Facility | | $24,943.38 | $42,653.48 | $64,803.04 |