- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,636.00 / $105,815.00 / $153,398.00
| Facility | | $7,636.00 | $105,815.00 | $153,398.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,594.08 / $35,594.08 / $35,594.08
| Facility | | $35,594.08 | $35,594.08 | $35,594.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,458.55 / $82,183.78 / $139,106.09
| Facility | | $54,458.55 | $82,183.78 | $139,106.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,482.85 / $93,237.41 / $172,073.46
| Facility | | $51,482.85 | $93,237.41 | $172,073.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,394.04 / $97,723.00 / $132,205.44
| Facility | | $59,394.04 | $97,723.00 | $132,205.44 |