- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $31,622.78 / $44,668.36
| Facility | | $17,782.79 | $31,622.78 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $33,884.42 / $53,703.18
| Facility | | $20,892.96 | $33,884.42 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $30,199.52 / $45,708.82
| Facility | | $17,378.01 | $30,199.52 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $33,113.11 / $40,738.03
| Facility | | $33,113.11 | $33,113.11 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $31,622.78 / $38,018.94
| Facility | | $13,803.84 | $31,622.78 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,113.11 / $51,286.14
| Facility | | $22,908.68 | $33,113.11 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $30,902.95 / $44,668.36
| Facility | | $16,982.44 | $30,902.95 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $17,378.01 / $28,840.32
| Facility | | $13,489.63 | $17,378.01 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $21,877.62 / $39,810.72
| Facility | | $5,370.32 | $21,877.62 | $39,810.72 |