- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $44,668.36 / $74,131.02
| Facility | | $23,442.29 | $44,668.36 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $48,977.88 / $48,977.88
| Facility | | $48,977.88 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $45,708.82 / $63,095.73
| Facility | | $25,118.86 | $45,708.82 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $38,904.51 / $61,659.50
| Facility | | $100.00 | $38,904.51 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $36,307.81 / $61,659.50
| Facility | | $23,442.29 | $36,307.81 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $63,095.73 / $63,095.73
| Facility | | $63,095.73 | $63,095.73 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $43,651.58 / $69,183.10
| Facility | | $24,547.09 | $43,651.58 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $35,481.34 / $67,608.30
| Facility | | $5,754.40 | $35,481.34 | $67,608.30 |