- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,102.20 / $41,264.90 / $57,214.00
| Facility | | $23,102.20 | $41,264.90 | $57,214.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,496.24 / $33,496.24 / $33,496.24
| Facility | | $33,496.24 | $33,496.24 | $33,496.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $45,952.49 / $64,856.00
| Facility | | $20,946.00 | $45,952.49 | $64,856.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,860.36 / $36,996.79 / $53,205.92
| Facility | | $21,860.36 | $36,996.79 | $53,205.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,590.47 / $41,590.47 / $50,502.72
| Facility | | $41,590.47 | $41,590.47 | $50,502.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,073.76 / $44,296.61 / $64,818.68
| Facility | | $26,073.76 | $44,296.61 | $64,818.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,761.40 / $41,264.90 / $56,350.80
| Facility | | $22,761.40 | $41,264.90 | $56,350.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,564.52 / $33,788.79 / $52,622.88
| Facility | | $20,564.52 | $33,788.79 | $52,622.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $19,431.99 / $27,972.92
| Facility | | $2,621.40 | $19,431.99 | $27,972.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,739.12 / $36,335.50 / $68,271.67
| Facility | | $11,739.12 | $36,335.50 | $68,271.67 |