- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,095.20 / $31,766.60 / $51,511.30
| Facility | | $20,095.20 | $31,766.60 | $51,511.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,926.06 / $31,926.06 / $31,926.06
| Facility | | $31,926.06 | $31,926.06 | $31,926.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,975.44 / $29,317.56 / $67,488.89
| Facility | | $23,975.44 | $29,317.56 | $67,488.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $24,498.79 / $47,525.26
| Facility | | $100.00 | $24,498.79 | $47,525.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,165.14 / $33,342.00 / $58,488.54
| Facility | | $22,165.14 | $33,342.00 | $58,488.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,059.77 / $46,552.55 / $54,633.37
| Facility | | $32,059.77 | $46,552.55 | $54,633.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,698.16 / $28,204.00 / $58,998.67
| Facility | | $20,698.16 | $28,204.00 | $58,998.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $25,815.04 / $52,850.40
| Facility | | $5,693.00 | $25,815.04 | $52,850.40 |