- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $77,624.71 / $208,929.61
| Facility | | $29,512.09 | $77,624.71 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $85,113.80 / $131,825.67
| Facility | | $58,884.37 | $85,113.80 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $100,000.00 / $134,896.29
| Facility | | $42,657.95 | $100,000.00 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $301,995.17 / $301,995.17 / $301,995.17
| Facility | | $301,995.17 | $301,995.17 | $301,995.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $107,151.93 / $162,181.01
| Facility | | $2,951.21 | $107,151.93 | $162,181.01 |