- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,543.19 / $58,960.20 / $79,120.00
| Facility | | $35,543.19 | $58,960.20 | $79,120.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,708.19 / $47,708.19 / $47,708.19
| Facility | | $47,708.19 | $47,708.19 | $47,708.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,442.13 / $49,476.08 / $79,163.63
| Facility | | $28,442.13 | $49,476.08 | $79,163.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,185.79 / $47,472.00 / $108,872.28
| Facility | | $29,185.79 | $47,472.00 | $108,872.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,651.40 / $46,763.08 / $66,245.59
| Facility | | $34,651.40 | $46,763.08 | $66,245.59 |