- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,982.50 / $53,301.10 / $64,359.80
| Facility | | $27,982.50 | $53,301.10 | $64,359.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $48,129.90 / $81,973.73
| Facility | | $12,397.00 | $48,129.90 | $81,973.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,972.82 / $43,884.20 / $49,297.80
| Facility | | $37,972.82 | $43,884.20 | $49,297.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,728.39 / $36,832.94 / $49,280.23
| Facility | | $26,728.39 | $36,832.94 | $49,280.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,909.23 / $48,129.90 / $72,720.42
| Facility | | $27,909.23 | $48,129.90 | $72,720.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,086.17 / $43,085.32 / $53,556.16
| Facility | | $31,086.17 | $43,085.32 | $53,556.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $47,026.27 / $67,661.69
| Facility | | $3,775.00 | $47,026.27 | $67,661.69 |