- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,578.80 / $29,612.90 / $40,439.10
| Facility | | $16,578.80 | $29,612.90 | $40,439.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,315.00 / $29,127.00 / $44,178.00
| Facility | | $14,315.00 | $29,127.00 | $44,178.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,628.00 / $26,550.04 / $40,565.96
| Facility | | $15,628.00 | $26,550.04 | $40,565.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,846.60 / $29,846.60 / $36,242.30
| Facility | | $29,846.60 | $29,846.60 | $36,242.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.73 / $26,310.91 / $33,468.62
| Facility | | $21,571.73 | $26,310.91 | $33,468.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,334.30 / $28,535.00 / $40,018.90
| Facility | | $16,334.30 | $28,535.00 | $40,018.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,916.06 / $24,452.55 / $40,565.96
| Facility | | $14,916.06 | $24,452.55 | $40,565.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,637.13 / $22,366.78
| Facility | | $2,621.40 | $15,637.13 | $22,366.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,424.36 / $22,650.31 / $41,413.56
| Facility | | $8,424.36 | $22,650.31 | $41,413.56 |