- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,518.60 / $37,511.69 / $66,058.10
| Facility | | $23,518.60 | $37,511.69 | $66,058.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,730.09 / $28,308.02 / $40,137.66
| Facility | | $11,730.09 | $28,308.02 | $40,137.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,746.78 / $29,167.34 / $48,862.12
| Facility | | $21,746.78 | $29,167.34 | $48,862.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,551.21 / $23,964.90 / $31,486.67
| Facility | | $17,551.21 | $23,964.90 | $31,486.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,684.11 / $24,294.83 / $39,856.60
| Facility | | $7,684.11 | $24,294.83 | $39,856.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,679.71 / $28,350.18 / $38,868.57
| Facility | | $20,679.71 | $28,350.18 | $38,868.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,495.92 / $64,198.44
| Facility | | $3,775.00 | $23,495.92 | $64,198.44 |