- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,103.10 / $44,823.80 / $78,934.80
| Facility | | $28,103.10 | $44,823.80 | $78,934.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,542.66 / $37,487.69 / $54,496.35
| Facility | | $13,542.66 | $37,487.69 | $54,496.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,985.86 / $34,852.90 / $58,386.74
| Facility | | $25,985.86 | $34,852.90 | $58,386.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,721.18 / $29,726.40 / $35,379.60
| Facility | | $19,721.18 | $29,726.40 | $35,379.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,215.69 / $33,736.76 / $51,000.98
| Facility | | $9,215.69 | $33,736.76 | $51,000.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,770.33 / $36,322.25 / $49,334.12
| Facility | | $25,770.33 | $36,322.25 | $49,334.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,075.94 / $76,712.56
| Facility | | $3,775.00 | $28,075.94 | $76,712.56 |