- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,123.80 / $36,426.90 / $43,984.60
| Facility | | $19,123.80 | $36,426.90 | $43,984.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $32,892.85 / $56,460.96
| Facility | | $6,916.00 | $32,892.85 | $56,460.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,971.37 / $30,455.50 / $35,679.44
| Facility | | $25,971.37 | $30,455.50 | $35,679.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,919.91 / $26,501.30 / $35,039.65
| Facility | | $16,919.91 | $26,501.30 | $35,039.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,893.68 / $33,064.50 / $51,706.30
| Facility | | $19,893.68 | $33,064.50 | $51,706.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,103.15 / $30,450.83 / $37,204.99
| Facility | | $22,103.15 | $30,450.83 | $37,204.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,992.16 / $43,204.38
| Facility | | $3,775.00 | $29,992.16 | $43,204.38 |