- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $48,977.88 / $58,884.37
| Facility | | $40,738.03 | $48,977.88 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $70,794.58
| Facility | | $43,651.58 | $43,651.58 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $50,118.72 / $77,624.71
| Facility | | $38,904.51 | $50,118.72 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $63,095.73 / $63,095.73
| Facility | | $30,902.95 | $63,095.73 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $56,234.13 / $83,176.38
| Facility | | $40,738.03 | $56,234.13 | $83,176.38 |