- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,512.60 / $58,236.70 / $102,555.00
| Facility | | $36,512.60 | $58,236.70 | $102,555.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,383.56 / $49,496.26 / $70,180.25
| Facility | | $17,383.56 | $49,496.26 | $70,180.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,761.80 / $45,282.19 / $75,858.24
| Facility | | $33,761.80 | $45,282.19 | $75,858.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,049.91 / $36,819.69 / $47,999.75
| Facility | | $25,049.91 | $36,819.69 | $47,999.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,067.68 / $42,478.68 / $69,687.89
| Facility | | $11,067.68 | $42,478.68 | $69,687.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,157.76 / $49,569.32 / $67,960.37
| Facility | | $36,157.76 | $49,569.32 | $67,960.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,477.32 / $99,667.83
| Facility | | $3,775.00 | $36,477.32 | $99,667.83 |