- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $42,657.95 / $97,723.72
| Facility | | $29,512.09 | $42,657.95 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $34,673.69 / $34,673.69
| Facility | | $34,673.69 | $34,673.69 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $32,359.37 / $66,069.34
| Facility | | $19,054.61 | $32,359.37 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $50,118.72 / $60,255.96
| Facility | | $35,481.34 | $50,118.72 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $66,069.34 / $100,000.00
| Facility | | $36,307.81 | $66,069.34 | $100,000.00 |