- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $47,907.30 / $78,240.70
| Facility | | $6,303.00 | $47,907.30 | $78,240.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,653.97 / $87,024.09 / $116,767.54
| Facility | | $61,653.97 | $87,024.09 | $116,767.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,842.34 / $71,193.30 / $99,801.32
| Facility | | $51,842.34 | $71,193.30 | $99,801.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,133.44 / $79,068.14 / $99,679.08
| Facility | | $45,133.44 | $79,068.14 | $99,679.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,133.44 / $79,726.34 / $104,545.03
| Facility | | $45,133.44 | $79,726.34 | $104,545.03 |