- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,257.50 / $53,045.00 / $93,412.20
| Facility | | $33,257.50 | $53,045.00 | $93,412.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,865.80 / $44,802.71 / $65,130.31
| Facility | | $15,865.80 | $44,802.71 | $65,130.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,751.94 / $41,245.29 / $69,095.50
| Facility | | $30,751.94 | $41,245.29 | $69,095.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,774.52 / $34,689.60 / $40,885.83
| Facility | | $22,774.52 | $34,689.60 | $40,885.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,891.44 / $40,355.41 / $60,952.88
| Facility | | $11,891.44 | $40,355.41 | $60,952.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,798.93 / $43,525.58 / $59,117.91
| Facility | | $30,798.93 | $43,525.58 | $59,117.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $33,225.37 / $90,782.47
| Facility | | $3,775.00 | $33,225.37 | $90,782.47 |