- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,779.59 / $49,664.30 / $83,853.20
| Facility | | $19,779.59 | $49,664.30 | $83,853.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,070.38 / $83,638.38 / $108,453.24
| Facility | | $57,070.38 | $83,638.38 | $108,453.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,509.91 / $70,797.24 / $103,926.38
| Facility | | $49,509.91 | $70,797.24 | $103,926.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,432.24 / $70,005.42 / $146,803.60
| Facility | | $36,432.24 | $70,005.42 | $146,803.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,509.91 / $77,081.23 / $104,499.33
| Facility | | $49,509.91 | $77,081.23 | $104,499.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $63,517.69 / $96,954.06
| Facility | | $9,114.00 | $63,517.69 | $96,954.06 |