- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $26,163.80 / $42,730.00
| Facility | | $6,303.00 | $26,163.80 | $42,730.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,556.40 / $47,526.92 / $63,770.87
| Facility | | $34,556.40 | $47,526.92 | $63,770.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,312.93 / $38,881.17 / $54,505.01
| Facility | | $28,312.93 | $38,881.17 | $54,505.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,648.96 / $43,181.90 / $54,438.26
| Facility | | $24,648.96 | $43,181.90 | $54,438.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,648.96 / $43,541.36 / $57,095.72
| Facility | | $24,648.96 | $43,541.36 | $57,095.72 |