- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,221.60 / $55,358.60 / $78,381.80
| Facility | | $30,221.60 | $55,358.60 | $78,381.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,068.83 / $64,320.82 / $108,270.02
| Facility | | $40,068.83 | $64,320.82 | $108,270.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,421.28 / $49,797.97 / $88,598.49
| Facility | | $31,421.28 | $49,797.97 | $88,598.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.00 / $46,984.34 / $96,711.03
| Facility | | $7,896.00 | $46,984.34 | $96,711.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $45,960.76 / $95,395.00
| Facility | | $3,308.00 | $45,960.76 | $95,395.00 |