- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $81,283.05 / $131,825.67
| Facility | | $54,954.09 | $81,283.05 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $54,954.09 / $97,723.72
| Facility | | $28,183.83 | $54,954.09 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $81,283.05 / $158,489.32
| Facility | | $50,118.72 | $81,283.05 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204,173.79 / $204,173.79 / $204,173.79
| Facility | | $204,173.79 | $204,173.79 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $74,131.02 / $131,825.67
| Facility | | $31,622.78 | $74,131.02 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $69,183.10 / $169,824.37
| Facility | | $48,977.88 | $69,183.10 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $64,565.42 / $147,910.84
| Facility | | $24,547.09 | $64,565.42 | $147,910.84 |