- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,543.99 / $69,183.10 / $70,794.58
| Facility | | $57,543.99 | $69,183.10 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $74,131.02 / $107,151.93
| Facility | | $42,657.95 | $74,131.02 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $60,255.96 / $109,647.82
| Facility | | $44,668.36 | $60,255.96 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $57,543.99 / $74,131.02
| Facility | | $50,118.72 | $57,543.99 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $67,608.30 / $112,201.85
| Facility | | $42,657.95 | $67,608.30 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $43,651.58 / $57,543.99
| Facility | | $489.78 | $43,651.58 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $79,432.82 / $83,176.38
| Facility | | $63,095.73 | $79,432.82 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $72,443.60 / $100,000.00
| Facility | | $43,651.58 | $72,443.60 | $100,000.00 |