- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,025.80 / $35,770.00 / $50,576.00
| Facility | | $20,025.80 | $35,770.00 | $50,576.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,445.00 / $43,302.46 / $57,334.00
| Facility | | $18,445.00 | $43,302.46 | $57,334.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,949.40 / $32,070.24 / $48,131.96
| Facility | | $18,949.40 | $32,070.24 | $48,131.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,052.22 / $36,052.22 / $43,777.69
| Facility | | $36,052.22 | $36,052.22 | $43,777.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,421.28 / $51,300.23 / $66,055.07
| Facility | | $47,421.28 | $51,300.23 | $66,055.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,730.50 / $35,770.00 / $50,269.20
| Facility | | $19,730.50 | $35,770.00 | $50,269.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,826.11 / $29,536.65 / $46,120.93
| Facility | | $17,826.11 | $29,536.65 | $46,120.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,671.61 / $25,375.47
| Facility | | $2,621.40 | $17,671.61 | $25,375.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,175.92 / $27,578.48 / $50,024.15
| Facility | | $10,175.92 | $27,578.48 | $50,024.15 |