- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,216.70 / $29,711.40 / $45,871.80
| Facility | | $20,216.70 | $29,711.40 | $45,871.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99,217.81 / $141,052.94 / $180,837.10
| Facility | | $99,217.81 | $141,052.94 | $180,837.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,753.15 / $42,559.57 / $52,702.21
| Facility | | $22,753.15 | $42,559.57 | $52,702.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,216.70 / $30,389.60 / $48,594.30
| Facility | | $20,216.70 | $30,389.60 | $48,594.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,643.17 / $40,430.11 / $61,425.09
| Facility | | $23,643.17 | $40,430.11 | $61,425.09 |