- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,406.00 / $67,615.80 / $108,909.00
| Facility | | $3,406.00 | $67,615.80 | $108,909.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $36,760.37 / $93,417.08
| Facility | | $1,474.01 | $36,760.37 | $93,417.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,580.65 / $66,963.64 / $100,150.31
| Facility | | $45,580.65 | $66,963.64 | $100,150.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,783.42 / $59,295.23 / $106,902.33
| Facility | | $42,783.42 | $59,295.23 | $106,902.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,169.19 / $62,999.00 / $126,135.19
| Facility | | $40,169.19 | $62,999.00 | $126,135.19 |