- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,850.30 / $39,380.80 / $71,741.30
| Facility | | $26,850.30 | $39,380.80 | $71,741.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,377.35 / $32,297.66 / $39,952.71
| Facility | | $22,377.35 | $32,297.66 | $39,952.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,172.32 / $35,069.11 / $55,324.91
| Facility | | $22,172.32 | $35,069.11 | $55,324.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,807.29 / $33,701.08 / $62,252.60
| Facility | | $18,807.29 | $33,701.08 | $62,252.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,271.30 / $40,753.01 / $52,499.90
| Facility | | $28,271.30 | $40,753.01 | $52,499.90 |