- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,636.90 / $34,203.69 / $55,463.20
| Facility | | $21,636.90 | $34,203.69 | $55,463.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,559.00 / $26,515.67 / $60,593.22
| Facility | | $19,559.00 | $26,515.67 | $60,593.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $24,329.00 / $46,642.42
| Facility | | $100.00 | $24,329.00 | $46,642.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,098.43 / $37,796.60 / $63,525.05
| Facility | | $25,098.43 | $37,796.60 | $63,525.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,457.53 / $45,678.05 / $53,607.07
| Facility | | $31,457.53 | $45,678.05 | $53,607.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,320.45 / $30,337.30 / $63,525.05
| Facility | | $20,320.45 | $30,337.30 | $63,525.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $27,795.58 / $56,905.09
| Facility | | $5,693.00 | $27,795.58 | $56,905.09 |