- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $39,810.72 / $64,565.42
| Facility | | $17,782.79 | $39,810.72 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $70,794.58 / $95,499.26
| Facility | | $50,118.72 | $70,794.58 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $57,543.99 / $81,283.05
| Facility | | $47,863.01 | $57,543.99 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $57,543.99 / $77,624.71
| Facility | | $35,481.34 | $57,543.99 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $58,884.37 / $81,283.05
| Facility | | $36,307.81 | $58,884.37 | $81,283.05 |