- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $28,183.83 / $46,773.51
| Facility | | $17,782.79 | $28,183.83 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $51,286.14 / $67,608.30
| Facility | | $36,307.81 | $51,286.14 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $41,686.94 / $58,884.37
| Facility | | $33,884.42 | $41,686.94 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $41,686.94 / $56,234.13
| Facility | | $25,118.86 | $41,686.94 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $42,657.95 / $58,884.37
| Facility | | $25,703.96 | $42,657.95 | $58,884.37 |