- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,125.09 / $134,896.29 / $186,208.71
| Facility | | $89,125.09 | $134,896.29 | $186,208.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,125.09 / $125,892.54 / $151,356.12
| Facility | | $89,125.09 | $125,892.54 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $125,892.54 / $169,824.37
| Facility | | $85,113.80 | $125,892.54 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $70,794.58 / $70,794.58
| Facility | | $70,794.58 | $70,794.58 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $123,026.88 / $151,356.12
| Facility | | $10,964.78 | $123,026.88 | $151,356.12 |