- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $41,686.94 / $64,565.42
| Facility | | $29,512.09 | $41,686.94 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $35,481.34 / $53,703.18
| Facility | | $24,547.09 | $35,481.34 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $43,651.58 / $66,069.34
| Facility | | $27,542.29 | $43,651.58 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $38,018.94 / $60,255.96
| Facility | | $23,988.33 | $38,018.94 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $27,542.29 / $45,708.82
| Facility | | $17,378.01 | $27,542.29 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $43,651.58 / $63,095.73
| Facility | | $8,709.64 | $43,651.58 | $63,095.73 |