- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,056.30 / $36,298.30 / $43,829.40
| Facility | | $19,056.30 | $36,298.30 | $43,829.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $32,776.75 / $55,245.24
| Facility | | $12,397.00 | $32,776.75 | $55,245.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,275.55 / $30,364.74 / $34,920.69
| Facility | | $25,275.55 | $30,364.74 | $34,920.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,063.13 / $25,162.76 / $33,211.83
| Facility | | $17,063.13 | $25,162.76 | $33,211.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,868.43 / $31,907.94 / $48,762.60
| Facility | | $18,868.43 | $31,907.94 | $48,762.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,950.16 / $28,151.30 / $36,412.44
| Facility | | $20,950.16 | $28,151.30 | $36,412.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,025.17 / $46,078.01
| Facility | | $3,775.00 | $32,025.17 | $46,078.01 |