- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,300.80 / $31,656.60 / $40,337.50
| Facility | | $20,300.80 | $31,656.60 | $40,337.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,985.68 / $42,985.68 / $42,985.68
| Facility | | $42,985.68 | $42,985.68 | $42,985.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,060.47 / $32,428.17 / $38,196.18
| Facility | | $15,060.47 | $32,428.17 | $38,196.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,278.95 / $32,887.30 / $46,072.70
| Facility | | $17,278.95 | $32,887.30 | $46,072.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,251.42 / $35,875.47 / $46,072.70
| Facility | | $31,251.42 | $35,875.47 | $46,072.70 |