- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,108.50 / $63,108.50 / $74,796.00
| Facility | | $63,108.50 | $63,108.50 | $74,796.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,279.15 / $78,552.75 / $117,510.15
| Facility | | $48,279.15 | $78,552.75 | $117,510.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,614.95 / $63,884.42 / $108,691.94
| Facility | | $51,614.95 | $63,884.42 | $108,691.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,179.01 / $74,094.33 / $121,281.74
| Facility | | $46,179.01 | $74,094.33 | $121,281.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $710.21 / $44,823.37 / $64,041.81
| Facility | | $710.21 | $44,823.37 | $64,041.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,549.45 / $73,202.05 / $86,030.76
| Facility | | $52,549.45 | $73,202.05 | $86,030.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,425.86 / $78,080.67 / $98,427.06
| Facility | | $47,425.86 | $78,080.67 | $98,427.06 |