- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,050.90 / $44,342.90 / $71,904.50
| Facility | | $28,050.90 | $44,342.90 | $71,904.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,396.68 / $34,567.12 / $78,992.30
| Facility | | $26,396.68 | $34,567.12 | $78,992.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $31,106.13 / $62,198.24
| Facility | | $100.00 | $31,106.13 | $62,198.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,036.10 / $48,406.01 / $82,356.07
| Facility | | $33,036.10 | $48,406.01 | $82,356.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,009.58 / $59,548.15 / $69,884.81
| Facility | | $41,009.58 | $59,548.15 | $69,884.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,329.44 / $39,330.32 / $82,356.07
| Facility | | $26,329.44 | $39,330.32 | $82,356.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $36,035.14 / $73,773.72
| Facility | | $5,693.00 | $36,035.14 | $73,773.72 |