- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,316.09 / $40,054.60 / $52,296.90
| Facility | | $19,316.09 | $40,054.60 | $52,296.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $36,578.03 / $97,948.80
| Facility | | $5,840.42 | $36,578.03 | $97,948.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,632.16 / $37,422.76 / $56,546.25
| Facility | | $22,632.16 | $37,422.76 | $56,546.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,144.18 / $53,144.18 / $53,144.18
| Facility | | $53,144.18 | $53,144.18 | $53,144.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,608.52 / $37,700.07 / $58,217.76
| Facility | | $32,608.52 | $37,700.07 | $58,217.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $36,578.03 / $97,948.80
| Facility | | $5,840.42 | $36,578.03 | $97,948.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $36,578.03 / $76,547.86
| Facility | | $5,840.42 | $36,578.03 | $76,547.86 |