- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $58,884.37 / $83,176.38
| Facility | | $32,359.37 | $58,884.37 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $66,069.34 / $97,723.72
| Facility | | $28,840.32 | $66,069.34 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $52,480.75 / $77,624.71
| Facility | | $29,512.09 | $52,480.75 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $61,659.50 / $75,857.76
| Facility | | $61,659.50 | $61,659.50 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $57,543.99 / $70,794.58
| Facility | | $25,703.96 | $57,543.99 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $69,183.10 / $120,226.44
| Facility | | $15,488.17 | $69,183.10 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $57,543.99 / $79,432.82
| Facility | | $31,622.78 | $57,543.99 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $30,199.52 / $41,686.94
| Facility | | $25,118.86 | $30,199.52 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $42,657.95 / $74,131.02
| Facility | | $5,370.32 | $42,657.95 | $74,131.02 |