- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,985.80 / $45,951.40 / $77,584.39
| Facility | | $20,985.80 | $45,951.40 | $77,584.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,996.72 / $76,202.77 / $98,811.54
| Facility | | $51,996.72 | $76,202.77 | $98,811.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,808.60 / $65,504.52 / $96,156.97
| Facility | | $45,808.60 | $65,504.52 | $96,156.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,465.46 / $62,205.72 / $127,739.83
| Facility | | $28,465.46 | $62,205.72 | $127,739.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,808.60 / $71,318.72 / $96,687.08
| Facility | | $45,808.60 | $71,318.72 | $96,687.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $58,769.18 / $90,676.45
| Facility | | $9,114.00 | $58,769.18 | $90,676.45 |