- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,806.10 / $41,246.90 / $56,326.30
| Facility | | $23,806.10 | $41,246.90 | $56,326.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,166.56 / $32,166.56 / $32,166.56
| Facility | | $32,166.56 | $32,166.56 | $32,166.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,253.00 / $40,370.58 / $59,368.71
| Facility | | $20,253.00 | $40,370.58 | $59,368.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,948.00 / $36,980.67 / $53,182.73
| Facility | | $20,948.00 | $36,980.67 | $53,182.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,572.35 / $41,572.35 / $50,480.71
| Facility | | $41,572.35 | $41,572.35 | $50,480.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,050.75 / $44,406.95 / $64,395.95
| Facility | | $31,050.75 | $44,406.95 | $64,395.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,751.50 / $40,366.40 / $55,741.00
| Facility | | $22,751.50 | $40,366.40 | $55,741.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,555.55 / $34,059.15 / $52,599.94
| Facility | | $20,555.55 | $34,059.15 | $52,599.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $19,061.38 / $27,426.09
| Facility | | $2,621.40 | $19,061.38 | $27,426.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,734.01 / $36,160.73 / $64,363.00
| Facility | | $11,734.01 | $36,160.73 | $64,363.00 |