- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,714.40 / $33,382.19 / $51,539.20
| Facility | | $22,714.40 | $33,382.19 | $51,539.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,632.89 / $56,344.07 / $72,235.99
| Facility | | $39,632.89 | $56,344.07 | $72,235.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,564.27 / $47,616.81 / $59,213.49
| Facility | | $25,564.27 | $47,616.81 | $59,213.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,714.40 / $34,144.19 / $54,598.00
| Facility | | $22,714.40 | $34,144.19 | $54,598.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,895.21 / $45,425.19 / $69,014.07
| Facility | | $29,895.21 | $45,425.19 | $69,014.07 |