- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $60,255.96 / $112,201.85
| Facility | | $19,498.45 | $60,255.96 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $95,499.26 / $117,489.76
| Facility | | $63,095.73 | $95,499.26 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $69,183.10 / $95,499.26
| Facility | | $15,488.17 | $69,183.10 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $72,443.60 / $177,827.94
| Facility | | $39,810.72 | $72,443.60 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $46,773.51 / $95,499.26
| Facility | | $8,317.64 | $46,773.51 | $95,499.26 |