- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,721.00 / $41,661.80 / $70,974.00
| Facility | | $7,721.00 | $41,661.80 | $70,974.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,137.00 / $29,749.01 / $55,219.15
| Facility | | $10,137.00 | $29,749.01 | $55,219.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $27,042.47 / $54,318.10
| Facility | | $100.00 | $27,042.47 | $54,318.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,326.00 / $41,562.00 / $64,500.07
| Facility | | $23,326.00 | $41,562.00 | $64,500.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,713.51 / $53,310.05 / $62,563.87
| Facility | | $36,713.51 | $53,310.05 | $62,563.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,059.55 / $35,121.97 / $66,669.60
| Facility | | $23,059.55 | $35,121.97 | $66,669.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $35,186.39 / $63,446.47
| Facility | | $5,760.00 | $35,186.39 | $63,446.47 |