- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,689.40 / $49,398.00 / $60,711.00
| Facility | | $28,689.40 | $49,398.00 | $60,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,149.39 / $39,629.76 / $71,459.59
| Facility | | $29,149.39 | $39,629.76 | $71,459.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $28,677.81 / $57,667.16
| Facility | | $100.00 | $28,677.81 | $57,667.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,159.55 / $50,617.98 / $71,209.21
| Facility | | $30,159.55 | $50,617.98 | $71,209.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,978.35 / $56,598.70 / $66,423.38
| Facility | | $38,978.35 | $56,598.70 | $66,423.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,050.49 / $42,056.98 / $72,769.59
| Facility | | $25,050.49 | $42,056.98 | $72,769.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $34,370.51 / $70,365.75
| Facility | | $5,693.00 | $34,370.51 | $70,365.75 |