- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,808.80 / $35,826.90 / $43,260.10
| Facility | | $18,808.80 | $35,826.90 | $43,260.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $32,351.05 / $54,665.06
| Facility | | $12,397.00 | $32,351.05 | $54,665.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,202.90 / $30,032.02 / $35,181.14
| Facility | | $26,202.90 | $30,032.02 | $35,181.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,881.16 / $26,349.99 / $34,733.60
| Facility | | $17,881.16 | $26,349.99 | $34,733.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,675.83 / $32,564.50 / $50,268.60
| Facility | | $18,675.83 | $32,564.50 | $50,268.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,730.15 / $29,108.55 / $38,426.00
| Facility | | $20,730.15 | $29,108.55 | $38,426.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $31,609.23 / $45,479.56
| Facility | | $3,775.00 | $31,609.23 | $45,479.56 |