- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,194.70 / $46,175.30 / $74,348.00
| Facility | | $20,194.70 | $46,175.30 | $74,348.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,070.26 / $43,070.26 / $43,070.26
| Facility | | $43,070.26 | $43,070.26 | $43,070.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $25,210.79 / $65,379.35
| Facility | | $1,474.01 | $25,210.79 | $65,379.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,424.94 / $48,279.20 / $68,393.28
| Facility | | $33,424.94 | $48,279.20 | $68,393.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,217.07 / $40,493.10 / $85,040.50
| Facility | | $29,217.07 | $40,493.10 | $85,040.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,431.80 / $40,493.10 / $86,138.53
| Facility | | $27,431.80 | $40,493.10 | $86,138.53 |