- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,229.60 / $33,774.00 / $66,037.20
| Facility | | $22,229.60 | $33,774.00 | $66,037.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,100.27 / $40,659.71 / $59,884.67
| Facility | | $27,100.27 | $40,659.71 | $59,884.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,221.32 / $34,017.49 / $46,675.02
| Facility | | $20,221.32 | $34,017.49 | $46,675.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,890.70 / $75,890.70 / $89,064.18
| Facility | | $75,890.70 | $75,890.70 | $89,064.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $35,683.90 / $50,937.00
| Facility | | $2,520.00 | $35,683.90 | $50,937.00 |