- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $74,131.02 / $112,201.85
| Facility | | $53,703.18 | $74,131.02 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $64,565.42 / $95,499.26
| Facility | | $39,810.72 | $64,565.42 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $64,565.42 / $114,815.36
| Facility | | $45,708.82 | $64,565.42 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $125.89 / $181.97
| Facility | | $100.00 | $125.89 | $181.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $72,443.60 / $107,151.93
| Facility | | $46,773.51 | $72,443.60 | $107,151.93 |