- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $47,863.01 / $77,624.71
| Facility | | $29,512.09 | $47,863.01 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $23,442.29 / $53,703.18
| Facility | | $23,442.29 | $23,442.29 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $33,884.42 / $57,543.99
| Facility | | $15,848.93 | $33,884.42 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $46,773.51 / $93,325.43
| Facility | | $30,199.52 | $46,773.51 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120,226.44 / $120,226.44 / $120,226.44
| Facility | | $120,226.44 | $120,226.44 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $42,657.95 / $77,624.71
| Facility | | $18,197.01 | $42,657.95 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $43,651.58 / $100,000.00
| Facility | | $29,512.09 | $43,651.58 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $40,738.03 / $87,096.36
| Facility | | $14,454.40 | $40,738.03 | $87,096.36 |