- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $42,657.95 / $69,183.10
| Facility | | $16,982.44 | $42,657.95 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $39,810.72 / $43,651.58
| Facility | | $38,904.51 | $39,810.72 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $31,622.78 / $58,884.37
| Facility | | $15,488.17 | $31,622.78 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $44,668.36 / $89,125.09
| Facility | | $25,703.96 | $44,668.36 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,712.85 / $104,712.85 / $104,712.85
| Facility | | $104,712.85 | $104,712.85 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $38,018.94 / $64,565.42
| Facility | | $13,182.57 | $38,018.94 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $36,307.81 / $93,325.43
| Facility | | $25,118.86 | $36,307.81 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $33,113.11 / $74,131.02
| Facility | | $12,022.64 | $33,113.11 | $74,131.02 |