- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,639.80 / $56,844.70 / $100,104.00
| Facility | | $35,639.80 | $56,844.70 | $100,104.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,183.18 / $45,197.10 / $65,703.63
| Facility | | $15,183.18 | $45,197.10 | $65,703.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,954.76 / $44,199.77 / $74,044.95
| Facility | | $32,954.76 | $44,199.77 | $74,044.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,467.26 / $34,856.25 / $41,245.75
| Facility | | $21,467.26 | $34,856.25 | $41,245.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,286.45 / $40,408.16 / $61,489.43
| Facility | | $10,286.45 | $40,408.16 | $61,489.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,070.04 / $43,520.90 / $59,169.03
| Facility | | $31,070.04 | $43,520.90 | $59,169.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,605.37 / $92,752.97
| Facility | | $3,775.00 | $35,605.37 | $92,752.97 |