- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,042.50 / $32,574.50 / $44,175.20
| Facility | | $21,042.50 | $32,574.50 | $44,175.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,192.84 / $30,806.22 / $64,888.92
| Facility | | $25,192.84 | $30,806.22 | $64,888.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $24,178.31 / $54,446.26
| Facility | | $100.00 | $24,178.31 | $54,446.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,102.18 / $34,190.00 / $60,499.21
| Facility | | $23,102.18 | $34,190.00 | $60,499.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,687.68 / $48,916.35 / $57,407.49
| Facility | | $33,687.68 | $48,916.35 | $57,407.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,722.24 / $29,052.95 / $62,974.56
| Facility | | $21,722.24 | $29,052.95 | $62,974.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $26,471.61 / $54,194.57
| Facility | | $5,693.00 | $26,471.61 | $54,194.57 |