- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $50,454.00 / $77,721.80
| Facility | | $4,804.00 | $50,454.00 | $77,721.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $2,990.00 / $49,444.11
| Facility | | $688.00 | $2,990.00 | $49,444.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,141.40 / $47,761.04 / $90,372.62
| Facility | | $29,141.40 | $47,761.04 | $90,372.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,551.30 / $108,933.97 / $108,933.97
| Facility | | $66,551.30 | $108,933.97 | $108,933.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,272.77 / $42,375.02 / $98,844.20
| Facility | | $30,272.77 | $42,375.02 | $98,844.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $38,398.08 / $87,787.61
| Facility | | $5,257.00 | $38,398.08 | $87,787.61 |