- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $43,463.40 / $70,983.10
| Facility | | $6,303.00 | $43,463.40 | $70,983.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,405.14 / $78,951.77 / $105,936.23
| Facility | | $57,405.14 | $78,951.77 | $105,936.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,033.46 / $64,589.44 / $90,543.79
| Facility | | $47,033.46 | $64,589.44 | $90,543.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,946.87 / $71,733.82 / $90,432.89
| Facility | | $40,946.87 | $71,733.82 | $90,432.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,946.87 / $72,330.96 / $94,847.48
| Facility | | $40,946.87 | $72,330.96 | $94,847.48 |