- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $38,904.51 / $61,659.50
| Facility | | $28,183.83 | $38,904.51 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,884.42 / $51,286.14
| Facility | | $22,908.68 | $33,884.42 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $33,113.11 / $58,884.37
| Facility | | $9,549.93 | $33,113.11 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $31,622.78 / $52,480.75
| Facility | | $7,585.78 | $31,622.78 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $25,703.96 / $43,651.58
| Facility | | $16,218.10 | $25,703.96 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $41,686.94 / $58,884.37
| Facility | | $10,471.29 | $41,686.94 | $58,884.37 |