- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $89,125.09 / $128,824.96
| Facility | | $51,286.14 | $89,125.09 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $95,499.26 / $134,896.29
| Facility | | $28,840.32 | $95,499.26 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $81,283.05 / $114,815.36
| Facility | | $45,708.82 | $81,283.05 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,499.26 / $95,499.26 / $117,489.76
| Facility | | $95,499.26 | $95,499.26 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $89,125.09 / $112,201.85
| Facility | | $39,810.72 | $89,125.09 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,125.09 / $114,815.36 / $199,526.23
| Facility | | $89,125.09 | $114,815.36 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $85,113.80 / $123,026.88
| Facility | | $48,977.88 | $85,113.80 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $43,651.58 / $75,857.76
| Facility | | $37,153.52 | $43,651.58 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $66,069.34 / $114,815.36
| Facility | | $5,370.32 | $66,069.34 | $114,815.36 |