- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,406.10 / $57,528.40 / $81,454.00
| Facility | | $31,406.10 | $57,528.40 | $81,454.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,445.61 / $70,232.89 / $117,730.21
| Facility | | $44,445.61 | $70,232.89 | $117,730.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,652.84 / $51,749.80 / $92,071.11
| Facility | | $32,652.84 | $51,749.80 | $92,071.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.00 / $48,832.42 / $100,501.63
| Facility | | $7,896.00 | $48,832.42 | $100,501.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $47,762.20 / $91,299.37
| Facility | | $3,308.00 | $47,762.20 | $91,299.37 |