- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $40,738.03 / $57,543.99
| Facility | | $26,915.35 | $40,738.03 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $18,620.87 / $31,622.78
| Facility | | $6,918.31 | $18,620.87 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $33,884.42 / $57,543.99
| Facility | | $23,988.33 | $33,884.42 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $37,153.52 / $54,954.09
| Facility | | $30,199.52 | $37,153.52 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $36,307.81 / $52,480.75
| Facility | | $19,054.61 | $36,307.81 | $52,480.75 |