- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,669.80 / $38,714.50 / $50,547.30
| Facility | | $18,669.80 | $38,714.50 | $50,547.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,897.67 / $94,671.89
| Facility | | $5,840.42 | $34,897.67 | $94,671.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,874.99 / $36,170.78 / $54,654.48
| Facility | | $21,874.99 | $36,170.78 | $54,654.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,366.23 / $51,366.23 / $51,366.23
| Facility | | $51,366.23 | $51,366.23 | $51,366.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,517.59 / $36,438.80 / $56,270.07
| Facility | | $31,517.59 | $36,438.80 | $56,270.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,897.67 / $94,671.89
| Facility | | $5,840.42 | $34,897.67 | $94,671.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $34,897.67 / $82,397.39
| Facility | | $3,775.00 | $34,897.67 | $82,397.39 |