- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $30,199.52 / $46,773.51
| Facility | | $21,379.62 | $30,199.52 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $25,703.96 / $40,738.03
| Facility | | $17,782.79 | $25,703.96 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $25,703.96 / $44,668.36
| Facility | | $9,549.93 | $25,703.96 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $25,703.96 / $48,977.88
| Facility | | $7,585.78 | $25,703.96 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $19,952.62 / $33,113.11
| Facility | | $12,589.25 | $19,952.62 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $31,622.78 / $45,708.82
| Facility | | $10,471.29 | $31,622.78 | $45,708.82 |