- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $45,708.82 / $85,113.80
| Facility | | $17,378.01 | $45,708.82 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $72,443.60 / $91,201.08
| Facility | | $48,977.88 | $72,443.60 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $61,659.50 / $79,432.82
| Facility | | $38,904.51 | $61,659.50 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $56,234.13 / $138,038.43
| Facility | | $31,622.78 | $56,234.13 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $20,417.38 / $21,379.62
| Facility | | $20,417.38 | $20,417.38 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $47,863.01 / $81,283.05
| Facility | | $10,000.00 | $47,863.01 | $81,283.05 |