- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $35,536.60 / $58,037.30
| Facility | | $6,303.00 | $35,536.60 | $58,037.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,935.66 / $64,552.65 / $86,615.72
| Facility | | $46,935.66 | $64,552.65 | $86,615.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,455.56 / $52,809.70 / $74,030.53
| Facility | | $38,455.56 | $52,809.70 | $74,030.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,479.04 / $58,651.09 / $73,939.85
| Facility | | $33,479.04 | $58,651.09 | $73,939.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,479.04 / $59,139.33 / $77,549.31
| Facility | | $33,479.04 | $59,139.33 | $77,549.31 |