- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $56,234.13 / $100,000.00
| Facility | | $26,915.35 | $56,234.13 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $74,131.02 / $102,329.30
| Facility | | $16,982.44 | $74,131.02 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.20 / $29,512.09 / $77,624.71
| Facility | | $91.20 | $29,512.09 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $51,286.14 / $102,329.30
| Facility | | $32,359.37 | $51,286.14 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,432.82 / $79,432.82 / $79,432.82
| Facility | | $79,432.82 | $79,432.82 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $56,234.13 / $107,151.93
| Facility | | $31,622.78 | $56,234.13 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $63,095.73 / $63,095.73
| Facility | | $63,095.73 | $63,095.73 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $44,668.36 / $97,723.72
| Facility | | $6,309.57 | $44,668.36 | $97,723.72 |