- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,916.90 / $28,684.80 / $40,026.10
| Facility | | $16,916.90 | $28,684.80 | $40,026.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,298.00 / $24,387.00 / $39,966.69
| Facility | | $13,298.00 | $24,387.00 | $39,966.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,607.00 / $26,278.86 / $39,886.21
| Facility | | $14,607.00 | $26,278.86 | $39,886.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,541.76 / $29,541.76 / $35,872.14
| Facility | | $29,541.76 | $29,541.76 | $35,872.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,500.06 / $27,354.36 / $48,730.49
| Facility | | $20,500.06 | $27,354.36 | $48,730.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,167.50 / $27,422.70 / $39,610.10
| Facility | | $16,167.50 | $27,422.70 | $39,610.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,401.18 / $24,000.21 / $37,378.08
| Facility | | $13,401.18 | $24,000.21 | $37,378.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,717.42 / $19,512.58
| Facility | | $2,621.40 | $13,717.42 | $19,512.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,193.10 / $22,598.24 / $40,990.58
| Facility | | $8,193.10 | $22,598.24 | $40,990.58 |