- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,647.82 / $151,356.12 / $204,173.79
| Facility | | $109,647.82 | $151,356.12 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,329.30 / $144,543.98 / $169,824.37
| Facility | | $102,329.30 | $144,543.98 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,499.26 / $141,253.75 / $190,546.07
| Facility | | $95,499.26 | $141,253.75 | $190,546.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,432.82 / $79,432.82 / $79,432.82
| Facility | | $79,432.82 | $79,432.82 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $134,896.29 / $173,780.08
| Facility | | $10,964.78 | $134,896.29 | $173,780.08 |