- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $52,480.75 / $87,096.36
| Facility | | $34,673.69 | $52,480.75 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $26,915.35 / $30,199.52
| Facility | | $26,915.35 | $26,915.35 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $41,686.94 / $69,183.10
| Facility | | $30,199.52 | $41,686.94 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $35,481.34 / $45,708.82
| Facility | | $27,542.29 | $35,481.34 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $44,668.36 / $64,565.42
| Facility | | $28,183.83 | $44,668.36 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $41,686.94 / $57,543.99
| Facility | | $30,902.95 | $41,686.94 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $46,773.51 / $66,069.34
| Facility | | $16,218.10 | $46,773.51 | $66,069.34 |