- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $48,977.88 / $63,095.73
| Facility | | $33,113.11 | $48,977.88 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $20,417.38 / $44,668.36
| Facility | | $10,471.29 | $20,417.38 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $23,442.29 / $43,651.58
| Facility | | $16,982.44 | $23,442.29 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $23,442.29 / $43,651.58
| Facility | | $16,982.44 | $23,442.29 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $30,199.52 / $47,863.01
| Facility | | $5,370.32 | $30,199.52 | $47,863.01 |