- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $44,668.36 / $83,176.38
| Facility | | $24,547.09 | $44,668.36 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $47,863.01 / $79,432.82
| Facility | | $10,232.93 | $47,863.01 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $25,703.96 / $66,069.34
| Facility | | $100.00 | $25,703.96 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $38,904.51 / $67,608.30
| Facility | | $25,703.96 | $38,904.51 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $69,183.10 / $69,183.10
| Facility | | $69,183.10 | $69,183.10 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $43,651.58 / $77,624.71
| Facility | | $26,302.68 | $43,651.58 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $37,153.52 / $75,857.76
| Facility | | $5,754.40 | $37,153.52 | $75,857.76 |