- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $123,026.88 / $223,872.11
| Facility | | $48,977.88 | $123,026.88 | $223,872.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,712.85 / $177,827.94 / $234,422.88
| Facility | | $104,712.85 | $177,827.94 | $234,422.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,329.30 / $158,489.32 / $204,173.79
| Facility | | $102,329.30 | $158,489.32 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $141,253.75 / $354,813.39
| Facility | | $81,283.05 | $141,253.75 | $354,813.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $120,226.44 / $199,526.23
| Facility | | $10,000.00 | $120,226.44 | $199,526.23 |