- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,349.30 / $27,040.50 / $45,655.20
| Facility | | $12,349.30 | $27,040.50 | $45,655.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,950.31 / $44,444.20 / $57,630.44
| Facility | | $29,950.31 | $44,444.20 | $57,630.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,956.46 / $38,546.68 / $56,584.37
| Facility | | $26,956.46 | $38,546.68 | $56,584.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,836.11 / $38,115.57 / $79,929.55
| Facility | | $19,836.11 | $38,115.57 | $79,929.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,956.46 / $41,968.10 / $56,896.32
| Facility | | $26,956.46 | $41,968.10 | $56,896.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,809.66 / $35,494.24 / $53,359.31
| Facility | | $7,809.66 | $35,494.24 | $53,359.31 |