- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,586.30 / $35,403.10 / $42,748.40
| Facility | | $18,586.30 | $35,403.10 | $42,748.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $31,968.35 / $54,874.04
| Facility | | $6,916.00 | $31,968.35 | $54,874.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,216.38 / $29,732.84 / $34,829.12
| Facility | | $25,216.38 | $29,732.84 | $34,829.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,537.25 / $24,060.30 / $34,209.62
| Facility | | $16,537.25 | $24,060.30 | $34,209.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,427.68 / $32,334.50 / $50,481.48
| Facility | | $19,427.68 | $32,334.50 | $50,481.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,579.57 / $29,812.72 / $35,463.87
| Facility | | $21,579.57 | $29,812.72 | $35,463.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,149.19 / $41,990.06
| Facility | | $3,775.00 | $29,149.19 | $41,990.06 |