- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,917.40 / $47,129.20 / $82,933.70
| Facility | | $27,917.40 | $47,129.20 | $82,933.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,551.00 / $36,551.00 / $50,655.36
| Facility | | $36,551.00 | $36,551.00 | $50,655.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,557.93 / $40,442.89 / $66,709.83
| Facility | | $27,557.93 | $40,442.89 | $66,709.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,395.24 / $42,721.36 / $58,617.51
| Facility | | $25,395.24 | $42,721.36 | $58,617.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,038.26 / $92,620.15 / $108,697.61
| Facility | | $44,038.26 | $92,620.15 | $108,697.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $39,993.66 / $58,353.60
| Facility | | $2,520.00 | $39,993.66 | $58,353.60 |