- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,991.30 / $66,651.30 / $80,479.89
| Facility | | $34,991.30 | $66,651.30 | $80,479.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $60,184.95 / $103,308.17
| Facility | | $12,397.00 | $60,184.95 | $103,308.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,757.61 / $54,480.60 / $61,140.88
| Facility | | $46,757.61 | $54,480.60 | $61,140.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,750.05 / $47,896.20 / $56,959.24
| Facility | | $31,750.05 | $47,896.20 | $56,959.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,237.54 / $60,184.95 / $91,929.91
| Facility | | $35,237.54 | $60,184.95 | $91,929.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,297.74 / $52,943.25 / $70,400.20
| Facility | | $39,297.74 | $52,943.25 | $70,400.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $60,484.48 / $84,608.84
| Facility | | $3,775.00 | $60,484.48 | $84,608.84 |