- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,488.50 / $35,989.50 / $55,564.60
| Facility | | $24,488.50 | $35,989.50 | $55,564.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,915.81 / $41,915.81 / $41,915.81
| Facility | | $41,915.81 | $41,915.81 | $41,915.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,821.38 / $80,780.08 / $103,564.20
| Facility | | $56,821.38 | $80,780.08 | $103,564.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,560.94 / $48,019.52 / $63,838.30
| Facility | | $27,560.94 | $48,019.52 | $63,838.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,488.50 / $36,811.00 / $58,862.40
| Facility | | $24,488.50 | $36,811.00 | $58,862.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,639.02 / $46,766.76 / $73,547.63
| Facility | | $28,639.02 | $46,766.76 | $73,547.63 |