- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,165.60 / $46,550.00 / $79,298.00
| Facility | | $21,165.60 | $46,550.00 | $79,298.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,821.25 / $81,864.58 / $105,230.33
| Facility | | $53,821.25 | $81,864.58 | $105,230.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,201.14 / $66,065.83 / $97,515.60
| Facility | | $46,201.14 | $66,065.83 | $97,515.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,873.76 / $65,646.14 / $139,139.28
| Facility | | $36,873.76 | $65,646.14 | $139,139.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,959.80 / $73,059.56 / $117,847.00
| Facility | | $47,959.80 | $73,059.56 | $117,847.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $59,272.78 / $104,277.32
| Facility | | $9,114.00 | $59,272.78 | $104,277.32 |