- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,330.00 / $33,567.19 / $56,674.80
| Facility | | $15,330.00 | $33,567.19 | $56,674.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,585.00 / $42,051.00 / $63,917.04
| Facility | | $1,585.00 | $42,051.00 | $63,917.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,462.83 / $47,850.54 / $70,241.91
| Facility | | $33,462.83 | $47,850.54 | $70,241.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,623.87 / $47,546.56 / $99,221.83
| Facility | | $24,623.87 | $47,546.56 | $99,221.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,462.83 / $52,097.77 / $70,629.16
| Facility | | $33,462.83 | $52,097.77 | $70,629.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,795.76 / $42,930.43 / $75,526.57
| Facility | | $6,795.76 | $42,930.43 | $75,526.57 |