- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,700.50 / $40,718.90 / $67,533.50
| Facility | | $31,700.50 | $40,718.90 | $67,533.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,881.07 / $41,150.65 / $69,550.67
| Facility | | $26,881.07 | $41,150.65 | $69,550.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,062.32 / $44,679.00 / $73,593.00
| Facility | | $35,062.32 | $44,679.00 | $73,593.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,962.75 / $41,677.92 / $120,201.50
| Facility | | $20,962.75 | $41,677.92 | $120,201.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,962.75 / $41,587.25 / $58,448.82
| Facility | | $20,962.75 | $41,587.25 | $58,448.82 |