- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $41,686.94 / $112,201.85
| Facility | | $26,302.68 | $41,686.94 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $37,153.52 / $37,153.52
| Facility | | $37,153.52 | $37,153.52 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $66,069.34 / $104,712.85
| Facility | | $45,708.82 | $66,069.34 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $54,954.09 / $72,443.60
| Facility | | $35,481.34 | $54,954.09 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162,181.01 / $162,181.01 / $162,181.01
| Facility | | $162,181.01 | $162,181.01 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $61,659.50 / $89,125.09
| Facility | | $3,801.89 | $61,659.50 | $89,125.09 |