- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $41,686.94 / $85,113.80
| Facility | | $35,481.34 | $41,686.94 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $36,307.81 / $56,234.13
| Facility | | $22,387.21 | $36,307.81 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $31,622.78 / $47,863.01
| Facility | | $26,302.68 | $31,622.78 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $26,302.68 / $33,884.42
| Facility | | $22,387.21 | $26,302.68 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $36,307.81 / $56,234.13
| Facility | | $26,915.35 | $36,307.81 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $30,199.52 / $41,686.94
| Facility | | $21,379.62 | $30,199.52 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $33,884.42 / $41,686.94
| Facility | | $26,302.68 | $33,884.42 | $41,686.94 |