- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,935.00 / $47,496.20 / $57,350.50
| Facility | | $24,935.00 | $47,496.20 | $57,350.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $42,888.20 / $69,521.98
| Facility | | $6,916.00 | $42,888.20 | $69,521.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,570.50 / $38,604.39 / $45,268.94
| Facility | | $32,570.50 | $38,604.39 | $45,268.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,493.40 / $31,816.26 / $41,967.20
| Facility | | $20,493.40 | $31,816.26 | $41,967.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,695.16 / $41,084.61 / $62,330.10
| Facility | | $23,695.16 | $41,084.61 | $62,330.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,364.20 / $35,984.00 / $47,983.59
| Facility | | $26,364.20 | $35,984.00 | $47,983.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $41,904.76 / $56,333.15
| Facility | | $3,775.00 | $41,904.76 | $56,333.15 |