- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,173.30 / $86,405.20 / $152,160.00
| Facility | | $54,173.30 | $86,405.20 | $152,160.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,258.55 / $70,356.02 / $102,277.48
| Facility | | $26,258.55 | $70,356.02 | $102,277.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,091.99 / $67,184.66 / $112,550.00
| Facility | | $50,091.99 | $67,184.66 | $112,550.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,046.69 / $54,874.05 / $66,461.36
| Facility | | $37,046.69 | $54,874.05 | $66,461.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,337.59 / $63,530.73 / $95,717.45
| Facility | | $18,337.59 | $63,530.73 | $95,717.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,365.15 / $68,437.64 / $93,073.61
| Facility | | $48,365.15 | $68,437.64 | $93,073.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $54,120.97 / $147,876.01
| Facility | | $3,775.00 | $54,120.97 | $147,876.01 |