- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,915.60 / $54,683.20 / $88,046.80
| Facility | | $23,915.60 | $54,683.20 | $88,046.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,352.82 / $48,352.82 / $48,352.82
| Facility | | $48,352.82 | $48,352.82 | $48,352.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $28,717.64 / $74,934.57
| Facility | | $1,474.01 | $28,717.64 | $74,934.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,583.57 / $57,174.75 / $80,994.91
| Facility | | $39,583.57 | $57,174.75 | $80,994.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,486.17 / $46,785.54 / $100,709.41
| Facility | | $32,486.17 | $46,785.54 | $100,709.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,486.17 / $46,097.00 / $86,455.50
| Facility | | $32,486.17 | $46,097.00 | $86,455.50 |