- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,387.40 / $53,511.00 / $80,850.00
| Facility | | $39,387.40 | $53,511.00 | $80,850.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,316.98 / $47,506.33 / $70,286.03
| Facility | | $29,316.98 | $47,506.33 | $70,286.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,093.97 / $45,762.31 / $85,214.07
| Facility | | $33,093.97 | $45,762.31 | $85,214.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.57 / $489.69 / $801.78
| Facility | | $257.57 | $489.69 | $801.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,846.21 / $52,377.67 / $86,201.43
| Facility | | $37,846.21 | $52,377.67 | $86,201.43 |