- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,812.00 / $31,318.80 / $50,785.20
| Facility | | $19,812.00 | $31,318.80 | $50,785.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,157.84 / $26,397.22 / $60,322.54
| Facility | | $20,157.84 | $26,397.22 | $60,322.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $23,910.58 / $48,014.60
| Facility | | $100.00 | $23,910.58 | $48,014.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,882.20 / $34,188.51 / $58,167.00
| Facility | | $22,882.20 | $34,188.51 | $58,167.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,317.00 / $45,474.00 / $53,367.60
| Facility | | $31,317.00 | $45,474.00 | $53,367.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,233.18 / $27,932.98 / $58,292.00
| Facility | | $20,233.18 | $27,932.98 | $58,292.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $25,451.15 / $52,105.41
| Facility | | $5,693.00 | $25,451.15 | $52,105.41 |