- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,536.20 / $43,919.70 / $77,342.60
| Facility | | $27,536.20 | $43,919.70 | $77,342.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,038.10 / $36,663.25 / $53,297.86
| Facility | | $15,038.10 | $36,663.25 | $53,297.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,461.72 / $34,149.91 / $57,209.07
| Facility | | $25,461.72 | $34,149.91 | $57,209.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,759.00 / $28,804.27 / $35,447.43
| Facility | | $19,759.00 | $28,804.27 | $35,447.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,084.58 / $32,569.08 / $49,879.36
| Facility | | $11,084.58 | $32,569.08 | $49,879.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,203.58 / $35,303.54 / $47,997.09
| Facility | | $25,203.58 | $35,303.54 | $47,997.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $27,509.65 / $71,663.38
| Facility | | $3,775.00 | $27,509.65 | $71,663.38 |