- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $120,226.44 / $173,780.08
| Facility | | $66,069.34 | $120,226.44 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $141,253.75 / $190,546.07
| Facility | | $28,840.32 | $141,253.75 | $190,546.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $109,647.82 / $151,356.12
| Facility | | $58,884.37 | $109,647.82 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125,892.54 / $125,892.54 / $154,881.66
| Facility | | $125,892.54 | $125,892.54 | $154,881.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $117,489.76 / $144,543.98
| Facility | | $53,703.18 | $117,489.76 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $109,647.82 / $151,356.12
| Facility | | $46,773.51 | $109,647.82 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,565.42 / $109,647.82 / $169,824.37
| Facility | | $64,565.42 | $109,647.82 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $89,125.09 / $151,356.12
| Facility | | $30,199.52 | $89,125.09 | $151,356.12 |