- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $29,512.09 / $38,904.51
| Facility | | $18,197.01 | $29,512.09 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $48,977.88 / $60,255.96
| Facility | | $33,113.11 | $48,977.88 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $35,481.34 / $35,481.34
| Facility | | $35,481.34 | $35,481.34 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $27,542.29 / $37,153.52
| Facility | | $18,620.87 | $27,542.29 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $35,481.34 / $35,481.34
| Facility | | $35,481.34 | $35,481.34 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $24,547.09 / $40,738.03
| Facility | | $16,218.10 | $24,547.09 | $40,738.03 |