- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $34,673.69 / $72,443.60
| Facility | | $21,877.62 | $34,673.69 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $30,199.52 / $54,954.09
| Facility | | $15,488.17 | $30,199.52 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $42,657.95 / $87,096.36
| Facility | | $27,542.29 | $42,657.95 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112,201.85 / $112,201.85 / $112,201.85
| Facility | | $112,201.85 | $112,201.85 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $30,902.95 / $53,703.18
| Facility | | $17,378.01 | $30,902.95 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $38,018.94 / $95,499.26
| Facility | | $27,542.29 | $38,018.94 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $29,512.09 / $79,432.82
| Facility | | $8,128.31 | $29,512.09 | $79,432.82 |