- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,050.10 / $26,385.40 / $44,549.10
| Facility | | $12,050.10 | $26,385.40 | $44,549.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,309.95 / $37,066.03 / $48,063.23
| Facility | | $25,309.95 | $37,066.03 | $48,063.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,729.83 / $37,510.17 / $55,213.51
| Facility | | $23,729.83 | $37,510.17 | $55,213.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,355.55 / $37,192.15 / $77,993.11
| Facility | | $19,355.55 | $37,192.15 | $77,993.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,243.51 / $40,479.91 / $55,517.90
| Facility | | $22,243.51 | $40,479.91 | $55,517.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,620.46 / $34,634.33 / $52,066.59
| Facility | | $7,620.46 | $34,634.33 | $52,066.59 |