- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $52,480.75 / $79,432.82
| Facility | | $29,512.09 | $52,480.75 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $89,125.09 / $131,825.67
| Facility | | $28,840.32 | $89,125.09 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $47,863.01 / $70,794.58
| Facility | | $28,840.32 | $47,863.01 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $56,234.13 / $67,608.30
| Facility | | $56,234.13 | $56,234.13 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $52,480.75 / $66,069.34
| Facility | | $22,908.68 | $52,480.75 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $52,480.75 / $75,857.76
| Facility | | $28,840.32 | $52,480.75 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $28,840.32 / $41,686.94
| Facility | | $24,547.09 | $28,840.32 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $38,904.51 / $66,069.34
| Facility | | $5,370.32 | $38,904.51 | $66,069.34 |