- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $34,673.69 / $64,565.42
| Facility | | $19,498.45 | $34,673.69 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $37,153.52 / $63,095.73
| Facility | | $10,232.93 | $37,153.52 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,908.68 / $52,480.75
| Facility | | $100.00 | $22,908.68 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $29,512.09 / $53,703.18
| Facility | | $19,054.61 | $29,512.09 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $53,703.18 / $53,703.18
| Facility | | $53,703.18 | $53,703.18 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $30,902.95 / $60,255.96
| Facility | | $20,892.96 | $30,902.95 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $29,512.09 / $58,884.37
| Facility | | $5,754.40 | $29,512.09 | $58,884.37 |