- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,524.00 / $51,030.40 / $89,283.80
| Facility | | $38,524.00 | $51,030.40 | $89,283.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,141.82 / $37,141.82 / $37,141.82
| Facility | | $37,141.82 | $37,141.82 | $37,141.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $41,762.86 / $88,616.50
| Facility | | $5,843.91 | $41,762.86 | $88,616.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,239.00 / $48,959.38 / $79,714.80
| Facility | | $21,239.00 | $48,959.38 | $79,714.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $52,589.22 / $90,333.78
| Facility | | $3,496.00 | $52,589.22 | $90,333.78 |