- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,795.20 / $43,795.20 / $51,905.90
| Facility | | $43,795.20 | $43,795.20 | $51,905.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,048.07 / $52,143.93 / $78,004.14
| Facility | | $32,048.07 | $52,143.93 | $78,004.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,819.05 / $44,333.65 / $75,428.57
| Facility | | $35,819.05 | $44,333.65 | $75,428.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,046.69 / $51,418.99 / $84,165.47
| Facility | | $32,046.69 | $51,418.99 | $84,165.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $471.44 / $29,754.10 / $42,947.69
| Facility | | $471.44 | $29,754.10 | $42,947.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,467.56 / $50,799.77 / $59,702.47
| Facility | | $36,467.56 | $50,799.77 | $59,702.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,911.96 / $55,191.00 / $72,656.06
| Facility | | $32,911.96 | $55,191.00 | $72,656.06 |