- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,883.10 / $59,893.10 / $78,198.89
| Facility | | $28,883.10 | $59,893.10 | $78,198.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $54,694.67 / $146,461.62
| Facility | | $5,840.42 | $54,694.67 | $146,461.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,841.58 / $55,957.80 / $84,552.90
| Facility | | $33,841.58 | $55,957.80 | $84,552.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,465.83 / $79,465.83 / $79,465.83
| Facility | | $79,465.83 | $79,465.83 | $79,465.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,759.11 / $56,372.44 / $87,052.29
| Facility | | $48,759.11 | $56,372.44 | $87,052.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $54,694.67 / $146,461.62
| Facility | | $5,840.42 | $54,694.67 | $146,461.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $54,694.67 / $114,461.05
| Facility | | $5,840.42 | $54,694.67 | $114,461.05 |