- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,471.00 / $43,815.70 / $77,159.39
| Facility | | $27,471.00 | $43,815.70 | $77,159.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,446.37 / $42,774.51 / $61,123.94
| Facility | | $15,446.37 | $42,774.51 | $61,123.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,401.40 / $34,069.01 / $57,073.56
| Facility | | $25,401.40 | $34,069.01 | $57,073.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,874.20 / $33,345.54 / $41,036.06
| Facility | | $22,874.20 | $33,345.54 | $41,036.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,124.50 / $36,611.57 / $58,550.84
| Facility | | $10,124.50 | $36,611.57 | $58,550.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,379.28 / $41,766.72 / $57,099.39
| Facility | | $30,379.28 | $41,766.72 | $57,099.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $27,444.48 / $74,987.21
| Facility | | $3,775.00 | $27,444.48 | $74,987.21 |