- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,447.40 / $53,088.40 / $93,420.20
| Facility | | $31,447.40 | $53,088.40 | $93,420.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,546.81 / $27,546.81 / $27,546.81
| Facility | | $27,546.81 | $27,546.81 | $27,546.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,466.52 / $111,725.33 / $182,274.36
| Facility | | $74,466.52 | $111,725.33 | $182,274.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,606.33 / $48,123.24 / $66,029.36
| Facility | | $28,606.33 | $48,123.24 | $66,029.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,162.24 / $101,293.60 / $118,876.64
| Facility | | $48,162.24 | $101,293.60 | $118,876.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $48,787.30 / $66,085.81
| Facility | | $1,787.00 | $48,787.30 | $66,085.81 |