- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $39,810.72 / $63,095.73
| Facility | | $18,197.01 | $39,810.72 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $34,673.69 / $91,201.08
| Facility | | $6,165.95 | $34,673.69 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $39,810.72 / $58,884.37
| Facility | | $21,379.62 | $39,810.72 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $52,480.75 / $52,480.75
| Facility | | $52,480.75 | $52,480.75 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $34,673.69 / $91,201.08
| Facility | | $6,165.95 | $34,673.69 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $34,673.69 / $91,201.08
| Facility | | $6,165.95 | $34,673.69 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $28,840.32 / $79,432.82
| Facility | | $9,772.37 | $28,840.32 | $79,432.82 |