- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,066.00 / $28,814.90 / $50,743.10
| Facility | | $18,066.00 | $28,814.90 | $50,743.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,456.49 / $25,413.74 / $36,175.51
| Facility | | $8,456.49 | $25,413.74 | $36,175.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,704.99 / $22,405.16 / $37,533.87
| Facility | | $16,704.99 | $22,405.16 | $37,533.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,220.98 / $20,240.20 / $24,527.29
| Facility | | $12,220.98 | $20,240.20 | $24,527.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $21,706.09 / $35,609.67
| Facility | | $6,600.00 | $21,706.09 | $35,609.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,476.18 / $25,329.32 / $34,726.93
| Facility | | $18,476.18 | $25,329.32 | $34,726.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,695.23 / $11,117.73 / $26,080.02
| Facility | | $7,695.23 | $11,117.73 | $26,080.02 |