- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,883.50 / $46,924.90 / $68,385.39
| Facility | | $25,883.50 | $46,924.90 | $68,385.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $55,460.45 / $76,387.00
| Facility | | $20,946.00 | $55,460.45 | $76,387.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,119.99 / $43,451.96 / $63,856.21
| Facility | | $25,119.99 | $43,451.96 | $63,856.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,295.16 / $47,295.16 / $57,429.83
| Facility | | $47,295.16 | $47,295.16 | $57,429.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,333.50 / $47,400.33 / $111,851.68
| Facility | | $22,333.50 | $47,400.33 | $111,851.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,174.50 / $45,070.80 / $67,065.10
| Facility | | $25,174.50 | $45,070.80 | $67,065.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,636.10 / $38,805.10 / $61,441.88
| Facility | | $23,636.10 | $38,805.10 | $61,441.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $22,428.47 / $32,394.26
| Facility | | $2,621.40 | $22,428.47 | $32,394.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,356.09 / $39,694.00 / $60,345.96
| Facility | | $17,356.09 | $39,694.00 | $60,345.96 |