- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $43,651.58 / $83,176.38
| Facility | | $14,791.08 | $43,651.58 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $69,183.10 / $87,096.36
| Facility | | $46,773.51 | $69,183.10 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $51,286.14 / $70,794.58
| Facility | | $15,488.17 | $51,286.14 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $52,480.75 / $131,825.67
| Facility | | $29,512.09 | $52,480.75 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $16,218.10 / $16,218.10
| Facility | | $16,218.10 | $16,218.10 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $34,673.69 / $70,794.58
| Facility | | $8,317.64 | $34,673.69 | $70,794.58 |