- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,085.50 / $29,164.20 / $47,404.10
| Facility | | $17,085.50 | $29,164.20 | $47,404.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,533.96 / $24,533.96 / $24,533.96
| Facility | | $24,533.96 | $24,533.96 | $24,533.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,650.67 / $23,172.41 / $36,556.71
| Facility | | $14,650.67 | $23,172.41 | $36,556.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,894.96 / $31,810.48 / $65,091.24
| Facility | | $14,894.96 | $31,810.48 | $65,091.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,079.86 / $26,369.81 / $35,104.24
| Facility | | $17,079.86 | $26,369.81 | $35,104.24 |