- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.70 / $43,097.30 / $56,644.70
| Facility | | $29,512.70 | $43,097.30 | $56,644.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,213.33 / $71,388.78 / $120,744.50
| Facility | | $26,213.33 | $71,388.78 | $120,744.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,063.48 / $43,488.34 / $77,570.92
| Facility | | $31,063.48 | $43,488.34 | $77,570.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,122.96 / $48,310.92 / $70,537.88
| Facility | | $37,122.96 | $48,310.92 | $70,537.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,122.96 / $44,911.44 / $70,537.88
| Facility | | $37,122.96 | $44,911.44 | $70,537.88 |