- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,045.40 / $72,357.70 / $122,169.00
| Facility | | $33,045.40 | $72,357.70 | $122,169.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,997.63 / $115,538.56 / $149,456.60
| Facility | | $65,997.63 | $115,538.56 | $149,456.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,132.83 / $103,147.15 / $151,414.23
| Facility | | $72,132.83 | $103,147.15 | $151,414.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,079.49 / $101,993.53 / $213,883.65
| Facility | | $53,079.49 | $101,993.53 | $213,883.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,132.83 / $112,302.52 / $152,248.98
| Facility | | $72,132.83 | $112,302.52 | $152,248.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $92,541.30 / $142,784.29
| Facility | | $9,114.00 | $92,541.30 | $142,784.29 |