- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,548.80 / $42,950.90 / $51,862.10
| Facility | | $22,548.80 | $42,950.90 | $51,862.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $38,783.85 / $69,319.38
| Facility | | $12,397.00 | $38,783.85 | $69,319.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,783.56 / $35,666.90 / $40,229.47
| Facility | | $30,783.56 | $35,666.90 | $40,229.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,608.39 / $33,768.80 / $43,700.80
| Facility | | $22,608.39 | $33,768.80 | $43,700.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,686.87 / $41,844.06 / $66,572.92
| Facility | | $24,686.87 | $41,844.06 | $66,572.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,474.03 / $38,078.90 / $52,003.27
| Facility | | $27,474.03 | $38,078.90 | $52,003.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $37,894.53 / $54,522.88
| Facility | | $3,775.00 | $37,894.53 | $54,522.88 |