- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $58,884.37 / $87,096.36
| Facility | | $33,113.11 | $58,884.37 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $45,708.82 / $83,176.38
| Facility | | $41,686.94 | $45,708.82 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $36,307.81 / $63,095.73
| Facility | | $17,782.79 | $36,307.81 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $54,954.09 / $100,000.00
| Facility | | $32,359.37 | $54,954.09 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128,824.96 / $128,824.96 / $128,824.96
| Facility | | $128,824.96 | $128,824.96 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $45,708.82 / $87,096.36
| Facility | | $25,703.96 | $45,708.82 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $48,977.88 / $112,201.85
| Facility | | $32,359.37 | $48,977.88 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $40,738.03 / $91,201.08
| Facility | | $13,803.84 | $40,738.03 | $91,201.08 |