- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $43,651.58 / $69,183.10
| Facility | | $31,622.78 | $43,651.58 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $37,153.52 / $57,543.99
| Facility | | $25,703.96 | $37,153.52 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $46,773.51 / $69,183.10
| Facility | | $28,840.32 | $46,773.51 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $39,810.72 / $64,565.42
| Facility | | $25,118.86 | $39,810.72 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $28,840.32 / $48,977.88
| Facility | | $18,197.01 | $28,840.32 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $47,863.01 / $66,069.34
| Facility | | $10,471.29 | $47,863.01 | $66,069.34 |