- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,277.50 / $50,342.80 / $65,729.60
| Facility | | $24,277.50 | $50,342.80 | $65,729.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,973.27 / $123,107.41
| Facility | | $5,840.42 | $45,973.27 | $123,107.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,445.34 / $47,034.98 / $71,070.42
| Facility | | $28,445.34 | $47,034.98 | $71,070.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,794.52 / $66,794.52 / $66,794.52
| Facility | | $66,794.52 | $66,794.52 | $66,794.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,984.17 / $47,383.51 / $73,171.27
| Facility | | $40,984.17 | $47,383.51 | $73,171.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,973.27 / $123,107.41
| Facility | | $5,840.42 | $45,973.27 | $123,107.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,973.27 / $96,209.53
| Facility | | $5,840.42 | $45,973.27 | $96,209.53 |