- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,191.30 / $41,167.69 / $54,108.50
| Facility | | $28,191.30 | $41,167.69 | $54,108.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,752.10 / $32,752.10 / $32,752.10
| Facility | | $32,752.10 | $32,752.10 | $32,752.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,838.87 / $40,411.83 / $68,351.16
| Facility | | $14,838.87 | $40,411.83 | $68,351.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,672.63 / $41,541.17 / $74,097.73
| Facility | | $29,672.63 | $41,541.17 | $74,097.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,460.80 / $46,147.83 / $67,379.59
| Facility | | $35,460.80 | $46,147.83 | $67,379.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,460.80 / $42,900.56 / $67,379.59
| Facility | | $35,460.80 | $42,900.56 | $67,379.59 |