- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,077.50 / $67,286.89 / $88,438.10
| Facility | | $46,077.50 | $67,286.89 | $88,438.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,687.00 / $59,061.87 / $99,895.19
| Facility | | $21,687.00 | $59,061.87 | $99,895.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,498.73 / $67,897.39 / $121,109.79
| Facility | | $48,498.73 | $67,897.39 | $121,109.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,959.27 / $75,426.78 / $110,129.25
| Facility | | $57,959.27 | $75,426.78 | $110,129.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,959.27 / $70,119.25 / $110,129.25
| Facility | | $57,959.27 | $70,119.25 | $110,129.25 |