- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,553.80 / $46,770.00 / $56,473.60
| Facility | | $24,553.80 | $46,770.00 | $56,473.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $42,232.45 / $76,679.96
| Facility | | $12,397.00 | $42,232.45 | $76,679.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,206.00 / $38,097.30 / $44,501.18
| Facility | | $28,206.00 | $38,097.30 | $44,501.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,984.71 / $30,664.60 / $48,178.69
| Facility | | $19,984.71 | $30,664.60 | $48,178.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,855.50 / $42,232.45 / $63,974.40
| Facility | | $25,855.50 | $42,232.45 | $63,974.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,391.31 / $36,390.14 / $45,963.45
| Facility | | $30,391.31 | $36,390.14 | $45,963.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $41,264.05 / $59,370.97
| Facility | | $3,775.00 | $41,264.05 | $59,370.97 |