- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,797.50 / $75,806.30 / $91,534.30
| Facility | | $39,797.50 | $75,806.30 | $91,534.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $68,451.70 / $117,498.14
| Facility | | $12,397.00 | $68,451.70 | $117,498.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,795.04 / $62,310.60 / $69,118.38
| Facility | | $52,795.04 | $62,310.60 | $69,118.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,281.57 / $54,897.30 / $66,882.72
| Facility | | $37,281.57 | $54,897.30 | $66,882.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,653.33 / $69,411.30 / $106,129.35
| Facility | | $40,653.33 | $69,411.30 | $106,129.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,367.65 / $60,696.54 / $81,862.37
| Facility | | $45,367.65 | $60,696.54 | $81,862.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $68,792.37 / $96,230.36
| Facility | | $3,775.00 | $68,792.37 | $96,230.36 |