- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,484.70 / $38,957.19 / $52,277.50
| Facility | | $23,484.70 | $38,957.19 | $52,277.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,484.37 / $21,484.37 / $21,484.37
| Facility | | $21,484.37 | $21,484.37 | $21,484.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,509.77 / $33,115.73 / $52,986.44
| Facility | | $19,509.77 | $33,115.73 | $52,986.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,284.12 / $31,366.50 / $71,935.92
| Facility | | $19,284.12 | $31,366.50 | $71,935.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,895.45 / $30,898.09 / $44,310.41
| Facility | | $22,895.45 | $30,898.09 | $44,310.41 |