- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,643.80 / $31,703.00 / $38,280.60
| Facility | | $16,643.80 | $31,703.00 | $38,280.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $28,627.25 / $49,139.01
| Facility | | $6,916.00 | $28,627.25 | $49,139.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,328.93 / $26,665.30 / $31,354.02
| Facility | | $22,328.93 | $26,665.30 | $31,354.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,156.66 / $22,567.50 / $30,512.07
| Facility | | $15,156.66 | $22,567.50 | $30,512.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,344.88 / $28,965.30 / $44,689.32
| Facility | | $17,344.88 | $28,965.30 | $44,689.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,247.14 / $25,750.39 / $34,161.12
| Facility | | $19,247.14 | $25,750.39 | $34,161.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,102.73 / $37,601.56
| Facility | | $3,775.00 | $26,102.73 | $37,601.56 |