- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,358.80 / $34,969.80 / $42,225.10
| Facility | | $18,358.80 | $34,969.80 | $42,225.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $31,577.05 / $53,423.93
| Facility | | $6,916.00 | $31,577.05 | $53,423.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,292.23 / $29,330.48 / $33,889.50
| Facility | | $25,292.23 | $29,330.48 | $33,889.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,190.10 / $24,238.60 / $32,116.92
| Facility | | $16,190.10 | $24,238.60 | $32,116.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,260.75 / $30,856.00 / $47,393.37
| Facility | | $18,260.75 | $30,856.00 | $47,393.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,259.48 / $27,402.85 / $35,023.01
| Facility | | $20,259.48 | $27,402.85 | $35,023.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,792.39 / $41,476.08
| Facility | | $3,775.00 | $28,792.39 | $41,476.08 |