- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $89,125.09 / $138,038.43
| Facility | | $39,810.72 | $89,125.09 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $77,624.71 / $204,173.79
| Facility | | $6,165.95 | $77,624.71 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $79,432.82 / $128,824.96
| Facility | | $41,686.94 | $79,432.82 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114,815.36 / $114,815.36 / $114,815.36
| Facility | | $114,815.36 | $114,815.36 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $75,857.76 / $204,173.79
| Facility | | $6,165.95 | $75,857.76 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $77,624.71 / $204,173.79
| Facility | | $6,165.95 | $77,624.71 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $63,095.73 / $177,827.94
| Facility | | $6,165.95 | $63,095.73 | $177,827.94 |