- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,104.30 / $53,312.10 / $75,484.10
| Facility | | $29,104.30 | $53,312.10 | $75,484.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,477.14 / $48,512.44 / $77,087.72
| Facility | | $30,477.14 | $48,512.44 | $77,087.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,259.68 / $47,957.01 / $85,323.13
| Facility | | $30,259.68 | $47,957.01 | $85,323.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $45,247.39 / $100,894.76
| Facility | | $7,117.00 | $45,247.39 | $100,894.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $44,261.66 / $89,660.35
| Facility | | $3,308.00 | $44,261.66 | $89,660.35 |