- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $36,307.81 / $51,286.14
| Facility | | $23,988.33 | $36,307.81 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $34,673.69 / $57,543.99
| Facility | | $12,882.50 | $34,673.69 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $30,199.52 / $51,286.14
| Facility | | $21,379.62 | $30,199.52 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $33,113.11 / $47,863.01
| Facility | | $26,915.35 | $33,113.11 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $32,359.37 / $46,773.51
| Facility | | $16,982.44 | $32,359.37 | $46,773.51 |