- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,133.10 / $48,988.00 / $66,742.10
| Facility | | $31,133.10 | $48,988.00 | $66,742.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,652.29 / $41,449.49 / $94,719.75
| Facility | | $31,652.29 | $41,449.49 | $94,719.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $39,242.39 / $73,100.00
| Facility | | $100.00 | $39,242.39 | $73,100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,494.51 / $53,724.82 / $95,145.19
| Facility | | $37,494.51 | $53,724.82 | $95,145.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,174.63 / $71,404.25 / $83,798.95
| Facility | | $49,174.63 | $71,404.25 | $83,798.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,465.92 / $44,806.41 / $95,145.19
| Facility | | $31,465.92 | $44,806.41 | $95,145.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $39,994.66 / $81,879.92
| Facility | | $5,693.00 | $39,994.66 | $81,879.92 |