- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,780.30 / $58,946.70 / $94,911.70
| Facility | | $25,780.30 | $58,946.70 | $94,911.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $22,023.12 / $96,435.84
| Facility | | $1,474.01 | $22,023.12 | $96,435.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,669.85 / $61,632.59 / $87,309.98
| Facility | | $42,669.85 | $61,632.59 | $87,309.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,298.12 / $51,692.96 / $108,561.58
| Facility | | $37,298.12 | $51,692.96 | $108,561.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,019.07 / $51,692.96 / $109,963.32
| Facility | | $35,019.07 | $51,692.96 | $109,963.32 |