- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,590.00 / $44,934.20 / $54,257.00
| Facility | | $23,590.00 | $44,934.20 | $54,257.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $40,574.80 / $69,184.14
| Facility | | $6,916.00 | $40,574.80 | $69,184.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,367.00 / $36,656.72 / $42,745.04
| Facility | | $29,367.00 | $36,656.72 | $42,745.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,290.18 / $29,556.20 / $41,591.51
| Facility | | $18,290.18 | $29,556.20 | $41,591.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,584.57 / $39,527.00 / $61,374.56
| Facility | | $23,584.57 | $39,527.00 | $61,374.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,236.09 / $36,296.91 / $43,037.62
| Facility | | $26,236.09 | $36,296.91 | $43,037.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,996.67 / $53,294.53
| Facility | | $3,775.00 | $36,996.67 | $53,294.53 |