- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,096.36 / $128,824.96 / $165,958.69
| Facility | | $87,096.36 | $128,824.96 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $54,954.09 / $117,489.76
| Facility | | $28,183.83 | $54,954.09 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $63,095.73 / $117,489.76
| Facility | | $45,708.82 | $63,095.73 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $63,095.73 / $117,489.76
| Facility | | $45,708.82 | $63,095.73 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $74,131.02 / $125,892.54
| Facility | | $5,370.32 | $74,131.02 | $125,892.54 |