- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,874.80 / $63,599.50 / $111,999.00
| Facility | | $39,874.80 | $63,599.50 | $111,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,342.75 / $52,805.82 / $76,764.53
| Facility | | $24,342.75 | $52,805.82 | $76,764.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,870.74 / $49,451.98 / $82,843.61
| Facility | | $36,870.74 | $49,451.98 | $82,843.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,525.08 / $44,777.70 / $52,967.66
| Facility | | $29,525.08 | $44,777.70 | $52,967.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,286.08 / $47,939.76 / $71,840.89
| Facility | | $15,286.08 | $47,939.76 | $71,840.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,300.54 / $51,365.98 / $69,892.58
| Facility | | $36,300.54 | $51,365.98 | $69,892.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,984.66 / $23,133.70 / $57,563.02
| Facility | | $16,984.66 | $23,133.70 | $57,563.02 |