- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,817.70 / $30,489.30 / $41,635.80
| Facility | | $16,817.70 | $30,489.30 | $41,635.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,142.00 / $32,553.82 / $46,266.00
| Facility | | $15,142.00 | $32,553.82 | $46,266.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,628.00 / $27,335.70 / $39,312.08
| Facility | | $15,628.00 | $27,335.70 | $39,312.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,729.82 / $30,729.82 / $37,314.78
| Facility | | $30,729.82 | $30,729.82 | $37,314.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,829.09 / $41,904.72 / $56,837.16
| Facility | | $7,829.09 | $41,904.72 | $56,837.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,787.80 / $30,010.00 / $41,635.80
| Facility | | $16,787.80 | $30,010.00 | $41,635.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,194.44 / $25,176.15 / $39,130.80
| Facility | | $15,194.44 | $25,176.15 | $39,130.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,468.71 / $20,629.59
| Facility | | $2,621.40 | $14,468.71 | $20,629.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,522.59 / $23,507.06 / $42,639.07
| Facility | | $8,522.59 | $23,507.06 | $42,639.07 |