- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $52,480.75 / $117,489.76
| Facility | | $25,703.96 | $52,480.75 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $27,542.29 / $30,199.52
| Facility | | $26,915.35 | $27,542.29 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,884.42 / $56,234.13
| Facility | | $21,379.62 | $33,884.42 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $44,668.36 / $63,095.73
| Facility | | $30,199.52 | $44,668.36 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $54,954.09 / $87,096.36
| Facility | | $30,902.95 | $54,954.09 | $87,096.36 |