- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,233.10 / $59,479.30 / $104,666.00
| Facility | | $35,233.10 | $59,479.30 | $104,666.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,393.51 / $41,911.61 / $69,298.49
| Facility | | $28,393.51 | $41,911.61 | $69,298.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,372.20 / $53,916.44 / $73,978.14
| Facility | | $31,372.20 | $53,916.44 | $73,978.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,706.62 / $108,748.05 / $127,625.07
| Facility | | $51,706.62 | $108,748.05 | $127,625.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $51,835.72 / $74,041.39
| Facility | | $1,787.00 | $51,835.72 | $74,041.39 |