- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $50,118.72 / $50,118.72
| Facility | | $50,118.72 | $50,118.72 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $77,624.71 / $123,026.88
| Facility | | $46,773.51 | $77,624.71 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $199,526.23 / $208,929.61
| Facility | | $151,356.12 | $199,526.23 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $50,118.72 / $117,489.76
| Facility | | $50,118.72 | $50,118.72 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $81,283.05 / $120,226.44
| Facility | | $56,234.13 | $81,283.05 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $74,131.02 / $81,283.05
| Facility | | $58,884.37 | $74,131.02 | $81,283.05 |