- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,296.10 / $60,749.50 / $79,317.10
| Facility | | $29,296.10 | $60,749.50 | $79,317.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $54,760.24 / $148,555.94
| Facility | | $5,840.42 | $54,760.24 | $148,555.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,325.50 / $56,757.97 / $85,761.97
| Facility | | $34,325.50 | $56,757.97 | $85,761.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,998.06 / $78,998.06 / $78,998.06
| Facility | | $78,998.06 | $78,998.06 | $78,998.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,456.34 / $57,178.54 / $88,297.09
| Facility | | $49,456.34 | $57,178.54 | $88,297.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $54,760.24 / $148,555.94
| Facility | | $5,840.42 | $54,760.24 | $148,555.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,143.84 / $116,097.78
| Facility | | $5,840.42 | $43,143.84 | $116,097.78 |