- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,596.30 / $41,136.50 / $49,671.40
| Facility | | $21,596.30 | $41,136.50 | $49,671.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $37,145.55 / $63,760.77
| Facility | | $12,397.00 | $37,145.55 | $63,760.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,696.37 / $34,599.80 / $37,499.24
| Facility | | $29,696.37 | $34,599.80 | $37,499.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,693.57 / $31,369.80 / $41,826.40
| Facility | | $21,693.57 | $31,369.80 | $41,826.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,010.04 / $38,227.80 / $58,283.30
| Facility | | $22,010.04 | $38,227.80 | $58,283.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,474.58 / $33,647.73 / $45,811.52
| Facility | | $24,474.58 | $33,647.73 | $45,811.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,293.79 / $52,219.73
| Facility | | $3,775.00 | $36,293.79 | $52,219.73 |