- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,038.80 / $55,313.00 / $66,789.10
| Facility | | $29,038.80 | $55,313.00 | $66,789.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $49,946.65 / $87,979.05
| Facility | | $6,916.00 | $49,946.65 | $87,979.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,323.40 / $44,801.36 / $51,761.08
| Facility | | $33,323.40 | $44,801.36 | $51,761.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,835.65 / $37,320.10 / $45,830.74
| Facility | | $22,835.65 | $37,320.10 | $45,830.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,546.45 / $50,404.84 / $80,199.00
| Facility | | $30,546.45 | $50,404.84 | $80,199.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,618.50 / $46,299.96 / $55,250.22
| Facility | | $27,618.50 | $46,299.96 | $55,250.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $45,542.05 / $65,604.34
| Facility | | $3,775.00 | $45,542.05 | $65,604.34 |