- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,865.00 / $38,064.10 / $67,030.89
| Facility | | $23,865.00 | $38,064.10 | $67,030.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,809.00 / $31,349.52 / $45,573.22
| Facility | | $13,809.00 | $31,349.52 | $45,573.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,067.01 / $29,596.84 / $49,581.63
| Facility | | $22,067.01 | $29,596.84 | $49,581.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,453.61 / $23,769.40 / $29,517.60
| Facility | | $16,453.61 | $23,769.40 | $29,517.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,773.79 / $27,805.65 / $42,650.18
| Facility | | $9,773.79 | $27,805.65 | $42,650.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,550.74 / $30,186.88 / $41,040.71
| Facility | | $21,550.74 | $30,186.88 | $41,040.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,631.67 / $33,586.12 / $48,319.99
| Facility | | $12,631.67 | $33,586.12 | $48,319.99 |