- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,822.00 / $48,045.30 / $54,345.90
| Facility | | $25,822.00 | $48,045.30 | $54,345.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,402.23 / $42,995.77 / $60,644.61
| Facility | | $28,402.23 | $42,995.77 | $60,644.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,628.18 / $39,460.76 / $61,724.00
| Facility | | $28,628.18 | $39,460.76 | $61,724.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,832.00 / $34,707.00 / $53,769.00
| Facility | | $20,832.00 | $34,707.00 | $53,769.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $55,501.75 / $73,868.36
| Facility | | $5,274.00 | $55,501.75 | $73,868.36 |