- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,471.30 / $50,422.40 / $60,883.90
| Facility | | $26,471.30 | $50,422.40 | $60,883.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $45,530.55 / $77,409.42
| Facility | | $12,397.00 | $45,530.55 | $77,409.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,976.83 / $41,673.40 / $47,303.16
| Facility | | $35,976.83 | $41,673.40 | $47,303.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,337.02 / $37,219.80 / $59,999.40
| Facility | | $26,337.02 | $37,219.80 | $59,999.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,249.06 / $45,630.90 / $70,758.70
| Facility | | $22,249.06 | $45,630.90 | $70,758.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,355.29 / $40,686.33 / $53,816.21
| Facility | | $29,355.29 | $40,686.33 | $53,816.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $44,486.52 / $64,007.48
| Facility | | $3,775.00 | $44,486.52 | $64,007.48 |