- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,314.40 / $36,966.50 / $48,586.70
| Facility | | $25,314.40 | $36,966.50 | $48,586.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,818.51 / $32,259.19 / $53,910.04
| Facility | | $11,818.51 | $32,259.19 | $53,910.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,644.52 / $37,301.87 / $66,536.02
| Facility | | $26,644.52 | $37,301.87 | $66,536.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,842.01 / $41,438.42 / $60,503.47
| Facility | | $31,842.01 | $41,438.42 | $60,503.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,842.01 / $38,522.53 / $60,503.47
| Facility | | $31,842.01 | $38,522.53 | $60,503.47 |