- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,442.50 / $29,414.90 / $35,517.80
| Facility | | $15,442.50 | $29,414.90 | $35,517.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $26,561.10 / $45,437.33
| Facility | | $6,916.00 | $26,561.10 | $45,437.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,635.46 / $24,740.72 / $29,459.58
| Facility | | $21,635.46 | $24,740.72 | $29,459.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,975.43 / $20,843.70 / $27,315.61
| Facility | | $13,975.43 | $20,843.70 | $27,315.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,547.90 / $26,243.20 / $40,308.31
| Facility | | $15,547.90 | $26,243.20 | $40,308.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,230.80 / $23,826.88 / $29,893.77
| Facility | | $17,230.80 | $23,826.88 | $29,893.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,218.78 / $34,887.69
| Facility | | $3,775.00 | $24,218.78 | $34,887.69 |