- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,691.00 / $39,324.30 / $55,264.20
| Facility | | $21,691.00 | $39,324.30 | $55,264.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,763.00 / $39,913.61 / $58,542.00
| Facility | | $19,763.00 | $39,913.61 | $58,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,119.43 / $35,189.54 / $50,703.72
| Facility | | $19,119.43 | $35,189.54 | $50,703.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,634.53 / $39,634.53 / $48,127.65
| Facility | | $39,634.53 | $39,634.53 | $48,127.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,691.60 / $50,028.80 / $87,639.07
| Facility | | $37,691.60 | $50,028.80 | $87,639.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,652.50 / $37,770.40 / $53,700.70
| Facility | | $21,652.50 | $37,770.40 | $53,700.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,597.40 / $32,471.55 / $50,148.10
| Facility | | $19,597.40 | $32,471.55 | $50,148.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,908.88 / $25,725.58
| Facility | | $2,621.40 | $17,908.88 | $25,725.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,187.05 / $30,318.81 / $54,994.78
| Facility | | $11,187.05 | $30,318.81 | $54,994.78 |