- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,706.60 / $59,220.10 / $103,613.00
| Facility | | $44,706.60 | $59,220.10 | $103,613.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,462.13 / $21,081.00 / $41,187.47
| Facility | | $20,462.13 | $21,081.00 | $41,187.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $53,029.68 / $104,668.67
| Facility | | $5,939.30 | $53,029.68 | $104,668.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,239.00 / $56,816.78 / $92,508.08
| Facility | | $21,239.00 | $56,816.78 | $92,508.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $61,029.17 / $104,831.27
| Facility | | $3,496.00 | $61,029.17 | $104,831.27 |