- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,935.00 / $43,686.60 / $52,750.50
| Facility | | $22,935.00 | $43,686.60 | $52,750.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $39,448.19 / $67,076.42
| Facility | | $12,397.00 | $39,448.19 | $67,076.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,054.80 / $35,677.64 / $39,822.37
| Facility | | $28,054.80 | $35,677.64 | $39,822.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,772.54 / $29,207.70 / $40,324.40
| Facility | | $18,772.54 | $29,207.70 | $40,324.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,868.76 / $38,384.73 / $59,504.75
| Facility | | $22,868.76 | $38,384.73 | $59,504.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,436.80 / $34,461.94 / $44,632.61
| Facility | | $25,436.80 | $34,461.94 | $44,632.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $38,543.64 / $55,456.83
| Facility | | $3,775.00 | $38,543.64 | $55,456.83 |