- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,769.00 / $68,607.10 / $93,092.00
| Facility | | $37,769.00 | $68,607.10 | $93,092.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,902.10 / $43,902.10 / $43,902.10
| Facility | | $43,902.10 | $43,902.10 | $43,902.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,205.23 / $53,078.41 / $79,570.69
| Facility | | $32,205.23 | $53,078.41 | $79,570.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,887.33 / $54,006.92 / $83,656.89
| Facility | | $34,887.33 | $54,006.92 | $83,656.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,751.91 / $51,902.92 / $81,462.12
| Facility | | $31,751.91 | $51,902.92 | $81,462.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $63,439.00 / $87,831.90
| Facility | | $10,403.00 | $63,439.00 | $87,831.90 |