- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,755.80 / $34,755.80 / $41,192.50
| Facility | | $34,755.80 | $34,755.80 | $41,192.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,715.83 / $41,841.01 / $62,591.62
| Facility | | $25,715.83 | $41,841.01 | $62,591.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,425.98 / $35,183.17 / $59,860.08
| Facility | | $28,425.98 | $35,183.17 | $59,860.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,432.24 / $40,806.08 / $66,793.67
| Facility | | $25,432.24 | $40,806.08 | $66,793.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $378.29 / $23,875.11 / $34,111.79
| Facility | | $378.29 | $23,875.11 | $34,111.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,940.64 / $40,314.68 / $47,379.85
| Facility | | $28,940.64 | $40,314.68 | $47,379.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,118.92 / $43,001.49 / $54,206.88
| Facility | | $26,118.92 | $43,001.49 | $54,206.88 |