- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,227.50 / $26,773.90 / $45,205.10
| Facility | | $12,227.50 | $26,773.90 | $45,205.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,889.71 / $42,870.34 / $55,589.64
| Facility | | $28,889.71 | $42,870.34 | $55,589.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,690.71 / $38,166.68 / $56,026.55
| Facility | | $26,690.71 | $38,166.68 | $56,026.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,640.56 / $37,739.82 / $79,141.59
| Facility | | $19,640.56 | $37,739.82 | $79,141.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,690.71 / $41,554.37 / $56,335.42
| Facility | | $26,690.71 | $41,554.37 | $56,335.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,056.95 / $33,463.18 / $52,267.78
| Facility | | $12,056.95 | $33,463.18 | $52,267.78 |