- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $67,608.30 / $154,881.66
| Facility | | $46,773.51 | $67,608.30 | $154,881.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $54,954.09 / $54,954.09
| Facility | | $54,954.09 | $54,954.09 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $54,954.09 / $87,096.36
| Facility | | $22,387.21 | $54,954.09 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $67,608.30 / $95,499.26
| Facility | | $15,488.17 | $67,608.30 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $100,000.00 / $158,489.32
| Facility | | $36,307.81 | $100,000.00 | $158,489.32 |