- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $32,359.37 / $89,125.09
| Facility | | $20,892.96 | $32,359.37 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $75,857.76 / $117,489.76
| Facility | | $52,480.75 | $75,857.76 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $43,651.58 / $57,543.99
| Facility | | $28,183.83 | $43,651.58 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128,824.96 / $128,824.96 / $128,824.96
| Facility | | $128,824.96 | $128,824.96 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $44,668.36 / $69,183.10
| Facility | | $2,951.21 | $44,668.36 | $69,183.10 |