- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $35,481.34 / $66,069.34
| Facility | | $13,489.63 | $35,481.34 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $56,234.13 / $69,183.10
| Facility | | $37,153.52 | $56,234.13 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $46,773.51 / $60,255.96
| Facility | | $27,542.29 | $46,773.51 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $41,686.94 / $104,712.85
| Facility | | $23,442.29 | $41,686.94 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $37,153.52 / $58,884.37
| Facility | | $9,332.54 | $37,153.52 | $58,884.37 |