- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,636.20 / $50,736.70 / $61,263.40
| Facility | | $26,636.20 | $50,736.70 | $61,263.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $45,814.35 / $79,149.88
| Facility | | $12,397.00 | $45,814.35 | $79,149.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,105.76 / $43,284.32 / $47,168.06
| Facility | | $36,105.76 | $43,284.32 | $47,168.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,399.39 / $41,735.10 / $55,407.00
| Facility | | $28,399.39 | $41,735.10 | $55,407.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,163.99 / $48,998.40 / $75,945.60
| Facility | | $28,163.99 | $48,998.40 | $75,945.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,370.24 / $43,616.04 / $58,053.85
| Facility | | $31,370.24 | $43,616.04 | $58,053.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $44,763.82 / $64,406.45
| Facility | | $3,775.00 | $44,763.82 | $64,406.45 |