- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,962.50 / $110,407.00 / $133,314.00
| Facility | | $57,962.50 | $110,407.00 | $133,314.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,769.69 / $89,520.54 / $100,663.26
| Facility | | $75,769.69 | $89,520.54 | $100,663.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,543.43 / $79,838.80 / $92,468.34
| Facility | | $51,543.43 | $79,838.80 | $92,468.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,427.48 / $102,438.09 / $155,821.32
| Facility | | $60,427.48 | $102,438.09 | $155,821.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,525.11 / $93,545.65 / $120,641.29
| Facility | | $67,525.11 | $93,545.65 | $120,641.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $97,409.46 / $140,153.32
| Facility | | $3,775.00 | $97,409.46 | $140,153.32 |