- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,029.80 / $41,517.00 / $73,111.50
| Facility | | $26,029.80 | $41,517.00 | $73,111.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,759.60 / $35,702.46 / $51,901.14
| Facility | | $12,759.60 | $35,702.46 | $51,901.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,068.80 / $32,281.69 / $54,079.37
| Facility | | $24,068.80 | $32,281.69 | $54,079.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,796.39 / $26,852.10 / $32,581.17
| Facility | | $17,796.39 | $26,852.10 | $32,581.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,505.81 / $31,786.66 / $48,572.23
| Facility | | $9,505.81 | $31,786.66 | $48,572.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,543.10 / $34,378.37 / $46,739.28
| Facility | | $24,543.10 | $34,378.37 | $46,739.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,004.69 / $67,742.92
| Facility | | $3,775.00 | $26,004.69 | $67,742.92 |