- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,417.50 / $27,462.50 / $33,160.30
| Facility | | $14,417.50 | $27,462.50 | $33,160.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $24,798.10 / $42,510.74
| Facility | | $6,916.00 | $24,798.10 | $42,510.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,427.06 / $23,098.54 / $27,838.04
| Facility | | $20,427.06 | $23,098.54 | $27,838.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,908.77 / $20,448.46 / $26,576.00
| Facility | | $12,908.77 | $20,448.46 | $26,576.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,556.22 / $25,179.98 / $39,061.44
| Facility | | $14,556.22 | $25,179.98 | $39,061.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,120.97 / $22,636.51 / $29,859.10
| Facility | | $16,120.97 | $22,636.51 | $29,859.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,611.25 / $32,572.02
| Facility | | $3,775.00 | $22,611.25 | $32,572.02 |