- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $69,183.10 / $128,824.96
| Facility | | $26,302.68 | $69,183.10 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $107,151.93 / $134,896.29
| Facility | | $54,954.09 | $107,151.93 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $91,201.08 / $117,489.76
| Facility | | $58,884.37 | $91,201.08 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $81,283.05 / $204,173.79
| Facility | | $45,708.82 | $81,283.05 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $69,183.10 / $114,815.36
| Facility | | $10,000.00 | $69,183.10 | $114,815.36 |