- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,972.98 / $57,406.70 / $95,308.70
| Facility | | $42,972.98 | $57,406.70 | $95,308.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,031.62 / $52,479.46 / $88,901.28
| Facility | | $35,031.62 | $52,479.46 | $88,901.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,319.01 / $61,230.87 / $89,361.00
| Facility | | $45,319.01 | $61,230.87 | $89,361.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,584.34 / $58,819.24 / $156,647.59
| Facility | | $29,584.34 | $58,819.24 | $156,647.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,584.34 / $58,691.27 / $82,487.69
| Facility | | $29,584.34 | $58,691.27 | $82,487.69 |