- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $60,255.96 / $81,283.05
| Facility | | $35,481.34 | $60,255.96 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $61,659.50 / $81,283.05
| Facility | | $29,512.09 | $61,659.50 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $45,708.82 / $45,708.82
| Facility | | $45,708.82 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $48,977.88 / $74,131.02
| Facility | | $30,199.52 | $48,977.88 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $21,379.62 / $70,794.58
| Facility | | $6,165.95 | $21,379.62 | $70,794.58 |