- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,319.80 / $37,319.80 / $44,231.30
| Facility | | $37,319.80 | $37,319.80 | $44,231.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,535.62 / $44,801.93 / $67,020.96
| Facility | | $27,535.62 | $44,801.93 | $67,020.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,523.00 / $37,778.67 / $64,276.03
| Facility | | $30,523.00 | $37,778.67 | $64,276.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,308.40 / $43,816.40 / $71,721.13
| Facility | | $27,308.40 | $43,816.40 | $71,721.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $405.06 / $25,564.65 / $36,597.62
| Facility | | $405.06 | $25,564.65 | $36,597.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,075.62 / $43,288.74 / $50,875.12
| Facility | | $31,075.62 | $43,288.74 | $50,875.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,298.70 / $47,030.70 / $61,913.45
| Facility | | $27,298.70 | $47,030.70 | $61,913.45 |