- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $32,474.50 / $53,036.40
| Facility | | $6,303.00 | $32,474.50 | $53,036.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,891.34 / $58,990.32 / $79,152.27
| Facility | | $42,891.34 | $58,990.32 | $79,152.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,141.94 / $48,259.23 / $67,651.50
| Facility | | $35,141.94 | $48,259.23 | $67,651.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,594.24 / $53,597.28 / $67,568.64
| Facility | | $30,594.24 | $53,597.28 | $67,568.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,594.24 / $54,043.45 / $70,867.10
| Facility | | $30,594.24 | $54,043.45 | $70,867.10 |