- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,217.80 / $28,538.50 / $58,131.00
| Facility | | $22,217.80 | $28,538.50 | $58,131.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,778.00 / $20,039.30 / $32,950.73
| Facility | | $3,778.00 | $20,039.30 | $32,950.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,046.81 / $25,851.98 / $43,693.65
| Facility | | $17,046.81 | $25,851.98 | $43,693.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,573.99 / $30,764.00 / $45,377.00
| Facility | | $24,573.99 | $30,764.00 | $45,377.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,276.25 / $30,151.65 / $54,436.00
| Facility | | $15,276.25 | $30,151.65 | $54,436.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,692.09 / $29,147.09 / $40,964.79
| Facility | | $14,692.09 | $29,147.09 | $40,964.79 |