- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $40,644.00 / $63,460.10
| Facility | | $4,804.00 | $40,644.00 | $63,460.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,992.65 / $39,630.78 / $49,288.16
| Facility | | $37,992.65 | $39,630.78 | $49,288.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $42,055.77
| Facility | | $688.00 | $3,027.00 | $42,055.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,034.79 / $39,470.00 / $73,789.55
| Facility | | $24,034.79 | $39,470.00 | $73,789.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,503.33 / $74,785.64 / $87,767.31
| Facility | | $51,503.33 | $74,785.64 | $87,767.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,717.82 / $34,991.25 / $80,706.62
| Facility | | $24,717.82 | $34,991.25 | $80,706.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $31,352.16 / $71,678.88
| Facility | | $5,257.00 | $31,352.16 | $71,678.88 |