- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $42,657.95 / $85,113.80
| Facility | | $36,307.81 | $42,657.95 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $37,153.52 / $54,954.09
| Facility | | $22,387.21 | $37,153.52 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $31,622.78 / $47,863.01
| Facility | | $26,915.35 | $31,622.78 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $23,988.33 / $30,902.95
| Facility | | $20,892.96 | $23,988.33 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $35,481.34 / $53,703.18
| Facility | | $26,302.68 | $35,481.34 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $28,840.32 / $38,904.51
| Facility | | $20,892.96 | $28,840.32 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $33,884.42 / $41,686.94
| Facility | | $26,302.68 | $33,884.42 | $41,686.94 |