- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,841.60 / $74,043.00 / $106,468.00
| Facility | | $40,841.60 | $74,043.00 | $106,468.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $89,678.65 / $125,004.00
| Facility | | $20,946.00 | $89,678.65 | $125,004.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,592.83 / $62,498.82 / $100,231.18
| Facility | | $34,592.83 | $62,498.82 | $100,231.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,627.21 / $74,627.21 / $90,618.76
| Facility | | $74,627.21 | $74,627.21 | $90,618.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,706.44 / $64,439.99 / $90,201.14
| Facility | | $41,706.44 | $64,439.99 | $90,201.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,769.19 / $74,043.00 / $105,822.00
| Facility | | $40,769.19 | $74,043.00 | $105,822.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,592.83 / $60,628.38 / $95,842.50
| Facility | | $34,592.83 | $60,628.38 | $95,842.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $36,287.80 / $52,843.80
| Facility | | $2,621.40 | $36,287.80 | $52,843.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,063.91 / $57,086.78 / $103,548.77
| Facility | | $21,063.91 | $57,086.78 | $103,548.77 |