- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,678.00 / $56,474.30 / $94,931.60
| Facility | | $25,678.00 | $56,474.30 | $94,931.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,306.33 / $92,458.29 / $119,889.95
| Facility | | $62,306.33 | $92,458.29 | $119,889.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,051.02 / $79,932.03 / $117,656.84
| Facility | | $56,051.02 | $79,932.03 | $117,656.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,245.57 / $79,254.35 / $166,198.88
| Facility | | $41,245.57 | $79,254.35 | $166,198.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,051.02 / $86,260.38 / $118,305.49
| Facility | | $56,051.02 | $86,260.38 | $118,305.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $71,909.47 / $110,950.93
| Facility | | $9,114.00 | $71,909.47 | $110,950.93 |