- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,197.00 / $49,870.60 / $80,955.70
| Facility | | $34,197.00 | $49,870.60 | $80,955.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,601.72 / $100,370.89 / $128,680.63
| Facility | | $70,601.72 | $100,370.89 | $128,680.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,155.31 / $75,798.85 / $97,717.93
| Facility | | $40,155.31 | $75,798.85 | $97,717.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,678.90 / $53,632.30 / $85,760.40
| Facility | | $35,678.90 | $53,632.30 | $85,760.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,726.04 / $71,352.03 / $108,404.49
| Facility | | $41,726.04 | $71,352.03 | $108,404.49 |