- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,721.00 / $29,281.80 / $69,963.00
| Facility | | $7,721.00 | $29,281.80 | $69,963.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,137.00 / $21,230.67 / $40,973.12
| Facility | | $10,137.00 | $21,230.67 | $40,973.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,033.02 / $41,300.00
| Facility | | $100.00 | $20,033.02 | $41,300.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,530.52 / $28,832.00 / $49,300.41
| Facility | | $18,530.52 | $28,832.00 | $49,300.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,241.77 / $39,556.55 / $83,000.00
| Facility | | $27,241.77 | $39,556.55 | $83,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,668.40 / $27,113.00 / $50,380.71
| Facility | | $17,668.40 | $27,113.00 | $50,380.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,184.00 / $26,749.34 / $52,627.36
| Facility | | $5,184.00 | $26,749.34 | $52,627.36 |