- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $57,374.00 / $87,036.90
| Facility | | $4,804.00 | $57,374.00 | $87,036.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,008.12 / $44,402.05 / $49,715.55
| Facility | | $42,008.12 | $44,402.05 | $49,715.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,910.00 / $57,293.54
| Facility | | $688.00 | $2,910.00 | $57,293.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,964.23 / $53,485.29 / $101,203.95
| Facility | | $32,964.23 | $53,485.29 | $101,203.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,690.30 / $123,893.07 / $123,893.07
| Facility | | $75,690.30 | $123,893.07 | $123,893.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,632.89 / $87,632.89 / $87,632.89
| Facility | | $87,632.89 | $87,632.89 | $87,632.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,901.01 / $47,453.75 / $110,690.86
| Facility | | $33,901.01 | $47,453.75 | $110,690.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $43,000.16 / $97,909.83
| Facility | | $5,257.00 | $43,000.16 | $97,909.83 |