- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $52,480.75 / $60,255.96
| Facility | | $38,018.94 | $52,480.75 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $41,686.94 / $41,686.94
| Facility | | $41,686.94 | $41,686.94 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $48,977.88 / $61,659.50
| Facility | | $26,915.35 | $48,977.88 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $38,018.94 / $93,325.43
| Facility | | $25,118.86 | $38,018.94 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $38,018.94 / $56,234.13
| Facility | | $23,442.29 | $38,018.94 | $56,234.13 |