- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,823.80 / $32,045.90 / $38,694.60
| Facility | | $16,823.80 | $32,045.90 | $38,694.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $28,936.85 / $49,670.44
| Facility | | $12,397.00 | $28,936.85 | $49,670.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,153.60 / $26,934.52 / $30,289.40
| Facility | | $21,153.60 | $26,934.52 | $30,289.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,474.96 / $22,657.60 / $30,843.19
| Facility | | $14,474.96 | $22,657.60 | $30,843.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,531.29 / $29,036.70 / $45,513.79
| Facility | | $17,531.29 | $29,036.70 | $45,513.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,456.00 / $26,478.71 / $34,042.24
| Facility | | $19,456.00 | $26,478.71 | $34,042.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,273.32 / $40,679.83
| Facility | | $3,775.00 | $28,273.32 | $40,679.83 |