- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $48,977.88 / $66,069.34
| Facility | | $30,902.95 | $48,977.88 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $43,651.58
| Facility | | $43,651.58 | $43,651.58 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,432.82 / $114,815.36 / $144,543.98
| Facility | | $79,432.82 | $114,815.36 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $58,884.37 / $58,884.37
| Facility | | $58,884.37 | $58,884.37 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $47,863.01 / $63,095.73
| Facility | | $31,622.78 | $47,863.01 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $58,884.37 / $58,884.37
| Facility | | $58,884.37 | $58,884.37 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $41,686.94 / $67,608.30
| Facility | | $27,542.29 | $41,686.94 | $67,608.30 |