- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $30,902.95 / $60,255.96
| Facility | | $11,481.54 | $30,902.95 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $50,118.72 / $63,095.73
| Facility | | $33,884.42 | $50,118.72 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $37,153.52 / $51,286.14
| Facility | | $15,488.17 | $37,153.52 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $38,018.94 / $95,499.26
| Facility | | $21,379.62 | $38,018.94 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $25,118.86 / $51,286.14
| Facility | | $8,317.64 | $25,118.86 | $51,286.14 |