- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,739.50 / $52,102.60 / $74,465.10
| Facility | | $28,739.50 | $52,102.60 | $74,465.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $54,846.59 / $80,377.00
| Facility | | $20,946.00 | $54,846.59 | $80,377.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,432.00 / $46,624.35 / $67,179.85
| Facility | | $25,432.00 | $46,624.35 | $67,179.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,513.74 / $52,513.74 / $63,766.68
| Facility | | $52,513.74 | $52,513.74 | $63,766.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,974.10 / $65,106.32 / $78,111.62
| Facility | | $42,974.10 | $65,106.32 | $78,111.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,952.30 / $50,990.40 / $71,150.70
| Facility | | $27,952.30 | $50,990.40 | $71,150.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,342.31 / $42,663.03 / $66,443.67
| Facility | | $24,342.31 | $42,663.03 | $66,443.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $23,722.39 / $34,368.19
| Facility | | $2,621.40 | $23,722.39 | $34,368.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,822.27 / $39,852.18 / $72,865.28
| Facility | | $14,822.27 | $39,852.18 | $72,865.28 |