- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,106.00 / $57,505.80 / $73,273.50
| Facility | | $16,106.00 | $57,505.80 | $73,273.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,947.26 / $60,472.83 / $85,295.61
| Facility | | $39,947.26 | $60,472.83 | $85,295.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,480.00 / $53,204.20 / $83,382.89
| Facility | | $34,480.00 | $53,204.20 | $83,382.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,603.00 / $52,182.00 / $73,819.00
| Facility | | $23,603.00 | $52,182.00 | $73,819.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $43,726.41 / $99,595.31
| Facility | | $5,274.00 | $43,726.41 | $99,595.31 |