- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $30,199.52 / $56,234.13
| Facility | | $11,220.18 | $30,199.52 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $46,773.51 / $58,884.37
| Facility | | $31,622.78 | $46,773.51 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $39,810.72 / $51,286.14
| Facility | | $25,118.86 | $39,810.72 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $35,481.34 / $89,125.09
| Facility | | $19,952.62 | $35,481.34 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $30,902.95 / $50,118.72
| Facility | | $8,511.38 | $30,902.95 | $50,118.72 |