- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,442.30 / $62,278.50 / $105,151.00
| Facility | | $28,442.30 | $62,278.50 | $105,151.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,165.14 / $113,087.87 / $146,640.16
| Facility | | $77,165.14 | $113,087.87 | $146,640.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,084.95 / $88,779.07 / $130,322.70
| Facility | | $62,084.95 | $88,779.07 | $130,322.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,685.68 / $87,786.15 / $184,090.32
| Facility | | $45,685.68 | $87,786.15 | $184,090.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,084.95 / $96,659.13 / $131,041.17
| Facility | | $62,084.95 | $96,659.13 | $131,041.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $79,650.58 / $122,894.88
| Facility | | $9,114.00 | $79,650.58 | $122,894.88 |