- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,053.80 / $38,198.40 / $46,123.60
| Facility | | $20,053.80 | $38,198.40 | $46,123.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $34,492.44 / $56,754.43
| Facility | | $6,916.00 | $34,492.44 | $56,754.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,046.20 / $31,514.78 / $36,395.44
| Facility | | $24,046.20 | $31,514.78 | $36,395.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,083.55 / $24,699.30 / $34,119.12
| Facility | | $16,083.55 | $24,699.30 | $34,119.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,375.48 / $32,075.60 / $50,347.92
| Facility | | $19,375.48 | $32,075.60 | $50,347.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,522.48 / $28,973.95 / $37,133.16
| Facility | | $21,522.48 | $28,973.95 | $37,133.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $33,701.53 / $45,305.43
| Facility | | $3,775.00 | $33,701.53 | $45,305.43 |