- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,353.60 / $31,568.30 / $53,065.30
| Facility | | $14,353.60 | $31,568.30 | $53,065.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,185.44 / $56,664.56 / $73,476.49
| Facility | | $38,185.44 | $56,664.56 | $73,476.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,331.67 / $44,680.80 / $65,768.39
| Facility | | $31,331.67 | $44,680.80 | $65,768.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,006.24 / $44,359.70 / $92,902.65
| Facility | | $25,006.24 | $44,359.70 | $92,902.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,331.67 / $48,218.25 / $66,130.97
| Facility | | $31,331.67 | $48,218.25 | $66,130.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,077.21 / $40,196.30 / $68,908.98
| Facility | | $9,077.21 | $40,196.30 | $68,908.98 |