- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,130.30 / $32,384.10 / $46,283.40
| Facility | | $18,130.30 | $32,384.10 | $46,283.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,192.00 / $31,368.00 / $46,805.00
| Facility | | $15,192.00 | $31,368.00 | $46,805.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,138.75 / $29,034.57 / $41,755.26
| Facility | | $16,138.75 | $29,034.57 | $41,755.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,639.62 / $32,639.62 / $39,633.83
| Facility | | $32,639.62 | $32,639.62 | $39,633.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,172.68 / $34,705.96 / $56,637.40
| Facility | | $28,172.68 | $34,705.96 | $56,637.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,862.90 / $31,692.80 / $44,223.30
| Facility | | $17,862.90 | $31,692.80 | $44,223.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,628.00 / $26,740.80 / $41,297.69
| Facility | | $15,628.00 | $26,740.80 | $41,297.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,211.03 / $21,733.25
| Facility | | $2,621.40 | $15,211.03 | $21,733.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,212.70 / $24,494.57 / $45,289.01
| Facility | | $9,212.70 | $24,494.57 | $45,289.01 |