- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,540.20 / $51,741.30 / $71,314.00
| Facility | | $28,540.20 | $51,741.30 | $71,314.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $54,325.12 / $80,840.00
| Facility | | $20,946.00 | $54,325.12 | $80,840.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,432.00 / $46,301.02 / $66,796.20
| Facility | | $25,432.00 | $46,301.02 | $66,796.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,149.57 / $52,149.57 / $63,324.48
| Facility | | $52,149.57 | $52,149.57 | $63,324.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,123.82 / $53,920.19 / $89,388.27
| Facility | | $34,123.82 | $53,920.19 | $89,388.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,489.50 / $50,002.00 / $70,657.30
| Facility | | $28,489.50 | $50,002.00 | $70,657.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,173.50 / $42,367.18 / $66,713.98
| Facility | | $24,173.50 | $42,367.18 | $66,713.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $24,279.59 / $35,216.23
| Facility | | $2,621.40 | $24,279.59 | $35,216.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,719.48 / $39,892.30 / $72,359.99
| Facility | | $14,719.48 | $39,892.30 | $72,359.99 |