- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $81,283.05 / $107,151.93
| Facility | | $50,118.72 | $81,283.05 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,499.26 / $141,253.75 / $173,780.08
| Facility | | $95,499.26 | $141,253.75 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,499.26 / $95,499.26 / $95,499.26
| Facility | | $95,499.26 | $95,499.26 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $81,283.05 / $109,647.82
| Facility | | $53,703.18 | $81,283.05 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,499.26 / $95,499.26 / $95,499.26
| Facility | | $95,499.26 | $95,499.26 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $67,608.30 / $109,647.82
| Facility | | $44,668.36 | $67,608.30 | $109,647.82 |