- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,214.00 / $52,975.60 / $93,290.10
| Facility | | $33,214.00 | $52,975.60 | $93,290.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,095.68 / $44,032.82 / $64,011.10
| Facility | | $19,095.68 | $44,032.82 | $64,011.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,711.73 / $41,191.36 / $69,005.16
| Facility | | $30,711.73 | $41,191.36 | $69,005.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,931.49 / $34,216.05 / $41,138.83
| Facility | | $22,931.49 | $34,216.05 | $41,138.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,263.70 / $39,335.12 / $59,905.46
| Facility | | $12,263.70 | $39,335.12 | $59,905.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,269.68 / $42,399.80 / $57,644.84
| Facility | | $30,269.68 | $42,399.80 | $57,644.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $33,181.93 / $86,439.84
| Facility | | $3,775.00 | $33,181.93 | $86,439.84 |