- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,406.00 / $71,718.20 / $115,517.00
| Facility | | $3,406.00 | $71,718.20 | $115,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $38,657.03 / $103,091.04
| Facility | | $1,474.01 | $38,657.03 | $103,091.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,687.00 / $71,026.48 / $106,226.66
| Facility | | $49,687.00 | $71,026.48 | $106,226.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,379.19 / $62,892.82 / $129,894.21
| Facility | | $45,379.19 | $62,892.82 | $129,894.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,169.17 / $61,157.55 / $113,388.35
| Facility | | $41,169.17 | $61,157.55 | $113,388.35 |