- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,490.20 / $50,226.10 / $88,448.30
| Facility | | $31,490.20 | $50,226.10 | $88,448.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,895.13 / $38,935.17 / $57,938.12
| Facility | | $13,895.13 | $38,935.17 | $57,938.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,117.77 / $39,053.50 / $65,423.74
| Facility | | $29,117.77 | $39,053.50 | $65,423.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,283.95 / $31,856.55 / $38,183.17
| Facility | | $21,283.95 | $31,856.55 | $38,183.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,808.20 / $36,133.16 / $52,970.24
| Facility | | $7,808.20 | $36,133.16 | $52,970.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,765.38 / $38,577.87 / $52,465.92
| Facility | | $26,765.38 | $38,577.87 | $52,465.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $31,459.77 / $85,958.26
| Facility | | $3,775.00 | $31,459.77 | $85,958.26 |