- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $54,882.70 / $87,748.80
| Facility | | $4,804.00 | $54,882.70 | $87,748.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,910.00 / $56,067.28
| Facility | | $688.00 | $2,910.00 | $56,067.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,169.39 / $52,420.89 / $102,031.65
| Facility | | $32,169.39 | $52,420.89 | $102,031.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,968.78 / $103,050.55 / $120,938.57
| Facility | | $70,968.78 | $103,050.55 | $120,938.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,277.36 / $31,277.36 / $31,277.36
| Facility | | $31,277.36 | $31,277.36 | $31,277.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,047.00 / $47,841.85 / $111,596.15
| Facility | | $34,047.00 | $47,841.85 | $111,596.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,609.00 / $41,354.56 / $86,219.84
| Facility | | $10,609.00 | $41,354.56 | $86,219.84 |