- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $66,069.34 / $177,827.94
| Facility | | $41,686.94 | $66,069.34 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $56,234.13 / $87,096.36
| Facility | | $38,904.51 | $56,234.13 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $87,096.36 / $114,815.36
| Facility | | $53,703.18 | $87,096.36 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257,039.58 / $257,039.58 / $257,039.58
| Facility | | $257,039.58 | $257,039.58 | $257,039.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $91,201.08 / $138,038.43
| Facility | | $2,951.21 | $91,201.08 | $138,038.43 |