- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $28,056.10 / $44,904.70
| Facility | | $4,804.00 | $28,056.10 | $44,904.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,761.16 / $24,761.16 / $24,761.16
| Facility | | $24,761.16 | $24,761.16 | $24,761.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $28,192.96
| Facility | | $688.00 | $3,027.00 | $28,192.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,810.00 / $26,301.06 / $47,071.73
| Facility | | $14,810.00 | $26,301.06 | $47,071.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,537.00 / $51,818.10 / $60,812.94
| Facility | | $48,537.00 | $51,818.10 | $60,812.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99,591.13 / $99,591.13 / $99,591.13
| Facility | | $99,591.13 | $99,591.13 | $99,591.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,836.80 / $24,482.69 / $47,891.78
| Facility | | $16,836.80 | $24,482.69 | $47,891.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,483.77 / $20,667.00 / $40,208.26
| Facility | | $8,483.77 | $20,667.00 | $40,208.26 |