- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $51,286.14 / $72,443.60
| Facility | | $29,512.09 | $51,286.14 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $57,543.99 / $83,176.38
| Facility | | $26,915.35 | $57,543.99 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $46,773.51 / $66,069.34
| Facility | | $28,183.83 | $46,773.51 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $54,954.09 / $66,069.34
| Facility | | $54,954.09 | $54,954.09 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $51,286.14 / $64,565.42
| Facility | | $22,908.68 | $51,286.14 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $57,543.99 / $72,443.60
| Facility | | $36,307.81 | $57,543.99 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $51,286.14 / $70,794.58
| Facility | | $28,183.83 | $51,286.14 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $25,703.96 / $40,738.03
| Facility | | $21,379.62 | $25,703.96 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $38,018.94 / $67,608.30
| Facility | | $5,370.32 | $38,018.94 | $67,608.30 |