- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,482.70 / $25,143.10 / $42,451.70
| Facility | | $11,482.70 | $25,143.10 | $42,451.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,585.00 / $35,002.00 / $52,529.36
| Facility | | $1,585.00 | $35,002.00 | $52,529.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,064.99 / $35,841.96 / $52,613.98
| Facility | | $25,064.99 | $35,841.96 | $52,613.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,444.25 / $35,614.26 / $74,321.09
| Facility | | $18,444.25 | $35,614.26 | $74,321.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,064.99 / $39,023.30 / $52,904.05
| Facility | | $25,064.99 | $39,023.30 | $52,904.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,573.84 / $33,003.69 / $53,302.00
| Facility | | $6,573.84 | $33,003.69 | $53,302.00 |