- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $37,153.52 / $42,657.95
| Facility | | $26,915.35 | $37,153.52 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $19,498.45 / $19,498.45
| Facility | | $19,498.45 | $19,498.45 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $35,481.34 / $46,773.51
| Facility | | $19,054.61 | $35,481.34 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $26,915.35 / $66,069.34
| Facility | | $17,782.79 | $26,915.35 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $26,302.68 / $38,904.51
| Facility | | $16,595.87 | $26,302.68 | $38,904.51 |