- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,976.59 / $35,134.00 / $40,681.50
| Facility | | $18,976.59 | $35,134.00 | $40,681.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,137.00 / $23,160.64 / $41,375.00
| Facility | | $10,137.00 | $23,160.64 | $41,375.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $21,398.26 / $40,807.72
| Facility | | $100.00 | $21,398.26 | $40,807.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,917.40 / $36,967.00 / $55,232.74
| Facility | | $21,917.40 | $36,967.00 | $55,232.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,477.20 / $39,898.40 / $46,824.16
| Facility | | $27,477.20 | $39,898.40 | $46,824.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,075.73 / $30,746.06 / $51,613.43
| Facility | | $18,075.73 | $30,746.06 | $51,613.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,211.00 / $24,211.00 / $24,211.00
| Facility | | $24,211.00 | $24,211.00 | $24,211.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $24,378.04 / $49,908.46
| Facility | | $5,693.00 | $24,378.04 | $49,908.46 |