- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $63,095.73 / $87,096.36
| Facility | | $40,738.03 | $63,095.73 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $77,624.71 / $128,824.96
| Facility | | $28,840.32 | $77,624.71 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $51,286.14 / $87,096.36
| Facility | | $36,307.81 | $51,286.14 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $58,884.37 / $83,176.38
| Facility | | $45,708.82 | $58,884.37 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $54,954.09 / $83,176.38
| Facility | | $28,840.32 | $54,954.09 | $83,176.38 |