- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,387.20 / $36,054.69 / $47,074.50
| Facility | | $17,387.20 | $36,054.69 | $47,074.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,925.36 / $88,167.66
| Facility | | $5,840.42 | $32,925.36 | $88,167.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,372.12 / $33,685.74 / $50,899.56
| Facility | | $20,372.12 | $33,685.74 | $50,899.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,837.22 / $47,837.22 / $47,837.22
| Facility | | $47,837.22 | $47,837.22 | $47,837.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,352.24 / $33,935.35 / $52,404.15
| Facility | | $29,352.24 | $33,935.35 | $52,404.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,925.36 / $88,167.66
| Facility | | $5,840.42 | $32,925.36 | $88,167.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $32,925.36 / $68,903.81
| Facility | | $5,840.42 | $32,925.36 | $68,903.81 |