- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,344.80 / $97,714.70 / $138,354.00
| Facility | | $53,344.80 | $97,714.70 | $138,354.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,451.77 / $97,450.87 / $164,498.85
| Facility | | $54,451.77 | $97,450.87 | $164,498.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,622.10 / $84,084.42 / $156,387.26
| Facility | | $54,622.10 | $84,084.42 | $156,387.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.00 / $81,126.42 / $170,706.92
| Facility | | $7,896.00 | $81,126.42 | $170,706.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $68,991.91 / $164,336.89
| Facility | | $3,308.00 | $68,991.91 | $164,336.89 |