- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,723.20 / $47,119.80 / $61,521.50
| Facility | | $22,723.20 | $47,119.80 | $61,521.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,030.04 / $115,226.03
| Facility | | $5,840.42 | $43,030.04 | $115,226.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,624.26 / $44,023.79 / $66,520.47
| Facility | | $26,624.26 | $44,023.79 | $66,520.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,518.31 / $62,518.31 / $62,518.31
| Facility | | $62,518.31 | $62,518.31 | $62,518.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,360.35 / $44,350.00 / $68,486.82
| Facility | | $38,360.35 | $44,350.00 | $68,486.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,030.04 / $115,226.03
| Facility | | $5,840.42 | $43,030.04 | $115,226.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,030.04 / $90,050.17
| Facility | | $5,840.42 | $43,030.04 | $90,050.17 |