- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $47,863.01 / $77,624.71
| Facility | | $31,622.78 | $47,863.01 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $34,673.69 / $57,543.99
| Facility | | $18,197.01 | $34,673.69 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $51,286.14 / $93,325.43
| Facility | | $29,512.09 | $51,286.14 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117,489.76 / $117,489.76 / $117,489.76
| Facility | | $117,489.76 | $117,489.76 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $39,810.72 / $77,624.71
| Facility | | $18,197.01 | $39,810.72 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $41,686.94 / $100,000.00
| Facility | | $29,512.09 | $41,686.94 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $39,810.72 / $91,201.08
| Facility | | $7,079.46 | $39,810.72 | $91,201.08 |