- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $34,935.40 / $57,055.40
| Facility | | $6,303.00 | $34,935.40 | $57,055.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,141.60 / $63,460.54 / $85,150.35
| Facility | | $46,141.60 | $63,460.54 | $85,150.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,804.97 / $51,916.26 / $72,778.08
| Facility | | $37,804.97 | $51,916.26 | $72,778.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,912.64 / $57,658.83 / $72,688.94
| Facility | | $32,912.64 | $57,658.83 | $72,688.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,912.64 / $58,138.81 / $76,237.33
| Facility | | $32,912.64 | $58,138.81 | $76,237.33 |