- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,391.00 / $45,637.80 / $81,364.00
| Facility | | $26,391.00 | $45,637.80 | $81,364.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,911.65 / $29,457.10 / $45,415.26
| Facility | | $13,911.65 | $29,457.10 | $45,415.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,138.66 / $43,651.44 / $73,946.44
| Facility | | $29,138.66 | $43,651.44 | $73,946.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,184.10 / $52,272.11 / $73,015.00
| Facility | | $40,184.10 | $52,272.11 | $73,015.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,255.82 / $50,213.32 / $130,296.56
| Facility | | $25,255.82 | $50,213.32 | $130,296.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,255.82 / $50,104.08 / $70,418.82
| Facility | | $25,255.82 | $50,104.08 | $70,418.82 |