- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,809.76 / $46,614.60 / $72,304.00
| Facility | | $22,809.76 | $46,614.60 | $72,304.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,045.00 / $29,176.72 / $73,961.00
| Facility | | $8,045.00 | $29,176.72 | $73,961.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $26,438.36 / $61,307.16
| Facility | | $100.00 | $26,438.36 | $61,307.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,033.25 / $44,419.64 / $81,423.00
| Facility | | $27,033.25 | $44,419.64 | $81,423.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,007.25 / $52,284.50 / $61,360.30
| Facility | | $36,007.25 | $52,284.50 | $61,360.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,182.60 / $34,180.30 / $81,423.00
| Facility | | $23,182.60 | $34,180.30 | $81,423.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,584.00 / $46,584.00 / $46,584.00
| Facility | | $46,584.00 | $46,584.00 | $46,584.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $24,071.24 / $55,074.87
| Facility | | $5,760.00 | $24,071.24 | $55,074.87 |