- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,402.30 / $51,242.80 / $86,518.30
| Facility | | $23,402.30 | $51,242.80 | $86,518.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,259.41 / $86,452.94 / $112,102.85
| Facility | | $58,259.41 | $86,452.94 | $112,102.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,083.52 / $73,047.45 / $107,229.56
| Facility | | $51,083.52 | $73,047.45 | $107,229.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,590.19 / $72,230.47 / $151,469.59
| Facility | | $37,590.19 | $72,230.47 | $151,469.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,083.52 / $79,531.17 / $107,820.73
| Facility | | $51,083.52 | $79,531.17 | $107,820.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $67,262.96 / $101,117.96
| Facility | | $9,114.00 | $67,262.96 | $101,117.96 |