- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,681.80 / $52,552.40 / $75,252.00
| Facility | | $38,681.80 | $52,552.40 | $75,252.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,794.37 / $41,794.37 / $41,794.37
| Facility | | $41,794.37 | $41,794.37 | $41,794.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,410.98 / $46,458.47 / $66,406.21
| Facility | | $27,410.98 | $46,458.47 | $66,406.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,744.86 / $46,586.80 / $84,320.00
| Facility | | $33,744.86 | $46,586.80 | $84,320.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $252.96 / $480.92 / $836.67
| Facility | | $252.96 | $480.92 | $836.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,168.26 / $51,439.42 / $84,657.28
| Facility | | $37,168.26 | $51,439.42 | $84,657.28 |