- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $75,857.76 / $141,253.75
| Facility | | $19,498.45 | $75,857.76 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,432.82 / $120,226.44 / $147,910.84
| Facility | | $79,432.82 | $120,226.44 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $87,096.36 / $120,226.44
| Facility | | $15,488.17 | $87,096.36 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $89,125.09 / $223,872.11
| Facility | | $50,118.72 | $89,125.09 | $223,872.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $58,884.37 / $120,226.44
| Facility | | $8,317.64 | $58,884.37 | $120,226.44 |