- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,147.00 / $51,028.50 / $69,683.89
| Facility | | $28,147.00 | $51,028.50 | $69,683.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $52,941.77 / $78,757.00
| Facility | | $20,946.00 | $52,941.77 | $78,757.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,430.26 / $45,663.16 / $69,440.46
| Facility | | $25,430.26 | $45,663.16 | $69,440.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,431.13 / $51,431.13 / $62,452.09
| Facility | | $51,431.13 | $51,431.13 | $62,452.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,097.00 / $49,012.20 / $69,683.89
| Facility | | $28,097.00 | $49,012.20 | $69,683.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,864.00 / $42,136.20 / $69,211.08
| Facility | | $23,864.00 | $42,136.20 | $69,211.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $26,265.33 / $38,160.46
| Facility | | $2,621.40 | $26,265.33 | $38,160.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,311.92 / $39,342.73 / $71,363.12
| Facility | | $14,311.92 | $39,342.73 | $71,363.12 |