- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,570.60 / $65,987.20 / $103,901.00
| Facility | | $48,570.60 | $65,987.20 | $103,901.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,152.83 / $58,583.40 / $88,012.75
| Facility | | $36,152.83 | $58,583.40 | $88,012.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,371.58 / $59,433.49 / $110,029.00
| Facility | | $42,371.58 | $59,433.49 | $110,029.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $317.63 / $603.86 / $1,050.55
| Facility | | $317.63 | $603.86 | $1,050.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,670.14 / $64,504.95 / $102,392.68
| Facility | | $46,670.14 | $64,504.95 | $102,392.68 |