- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,406.10 / $38,952.50 / $68,152.10
| Facility | | $29,406.10 | $38,952.50 | $68,152.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,845.38 / $28,882.14 / $40,863.57
| Facility | | $22,845.38 | $28,882.14 | $40,863.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $34,400.40 / $66,555.92
| Facility | | $5,939.30 | $34,400.40 | $66,555.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,148.02 / $37,371.66 / $60,847.88
| Facility | | $21,148.02 | $37,371.66 | $60,847.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $40,142.39 / $68,953.55
| Facility | | $3,496.00 | $40,142.39 | $68,953.55 |