- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $20,892.96 / $56,234.13
| Facility | | $13,489.63 | $20,892.96 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $35,481.34 / $54,954.09
| Facility | | $24,547.09 | $35,481.34 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $27,542.29 / $37,153.52
| Facility | | $17,782.79 | $27,542.29 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $81,283.05 / $81,283.05
| Facility | | $81,283.05 | $81,283.05 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $28,840.32 / $44,668.36
| Facility | | $2,951.21 | $28,840.32 | $44,668.36 |