- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,586.80 / $25,846.50 / $39,904.69
| Facility | | $17,586.80 | $25,846.50 | $39,904.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,215.63 / $44,377.69 / $56,894.47
| Facility | | $31,215.63 | $44,377.69 | $56,894.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,466.97 / $37,362.80 / $47,053.26
| Facility | | $16,466.97 | $37,362.80 | $47,053.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,586.80 / $26,436.50 / $42,273.00
| Facility | | $17,586.80 | $26,436.50 | $42,273.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,567.62 / $35,170.87 / $53,434.79
| Facility | | $20,567.62 | $35,170.87 | $53,434.79 |