- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $33,884.42 / $39,810.72
| Facility | | $19,952.62 | $33,884.42 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $36,307.81 / $50,118.72
| Facility | | $24,547.09 | $36,307.81 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $29,512.09 / $43,651.58
| Facility | | $15,848.93 | $29,512.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $26,915.35 / $39,810.72
| Facility | | $15,488.17 | $26,915.35 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $34,673.69 / $52,480.75
| Facility | | $4,073.80 | $34,673.69 | $52,480.75 |