- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,602.50 / $46,862.80 / $56,585.80
| Facility | | $24,602.50 | $46,862.80 | $56,585.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $42,316.30 / $71,938.14
| Facility | | $6,916.00 | $42,316.30 | $71,938.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,820.60 / $38,170.16 / $44,346.84
| Facility | | $29,820.60 | $38,170.16 | $44,346.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,627.45 / $31,973.60 / $43,247.13
| Facility | | $20,627.45 | $31,973.60 | $43,247.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,515.38 / $40,619.19 / $63,817.68
| Facility | | $24,515.38 | $40,619.19 | $63,817.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,280.47 / $37,055.44 / $46,765.05
| Facility | | $27,280.47 | $37,055.44 | $46,765.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $38,584.58 / $55,581.97
| Facility | | $3,775.00 | $38,584.58 | $55,581.97 |