- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $61,659.50 / $93,325.43
| Facility | | $50,118.72 | $61,659.50 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $56,234.13 / $56,234.13
| Facility | | $56,234.13 | $56,234.13 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $61,659.50 / $95,499.26
| Facility | | $13,489.63 | $61,659.50 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $64,565.42 / $95,499.26
| Facility | | $33,113.11 | $64,565.42 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $66,069.34 / $95,499.26
| Facility | | $33,113.11 | $66,069.34 | $95,499.26 |