- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,527.60 / $51,880.80 / $91,362.10
| Facility | | $32,527.60 | $51,880.80 | $91,362.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,755.57 / $26,755.57 / $26,755.57
| Facility | | $26,755.57 | $26,755.57 | $26,755.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,958.55 / $43,527.25 / $63,276.15
| Facility | | $16,958.55 | $43,527.25 | $63,276.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,077.02 / $40,340.07 / $67,579.03
| Facility | | $30,077.02 | $40,340.07 | $67,579.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,489.45 / $34,585.65 / $42,139.81
| Facility | | $23,489.45 | $34,585.65 | $42,139.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,488.88 / $38,653.31 / $59,217.65
| Facility | | $11,488.88 | $38,653.31 | $59,217.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,922.13 / $41,912.98 / $56,982.98
| Facility | | $29,922.13 | $41,912.98 | $56,982.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,496.17 / $88,790.04
| Facility | | $3,775.00 | $32,496.17 | $88,790.04 |