- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $50,118.72 / $83,176.38
| Facility | | $33,113.11 | $50,118.72 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $39,810.72 / $66,069.34
| Facility | | $28,840.32 | $39,810.72 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $20,417.38 / $26,302.68
| Facility | | $15,488.17 | $20,417.38 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $24,547.09 / $36,307.81
| Facility | | $16,595.87 | $24,547.09 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $25,118.86 / $34,673.69
| Facility | | $19,054.61 | $25,118.86 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $44,668.36 / $63,095.73
| Facility | | $15,488.17 | $44,668.36 | $63,095.73 |