- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,811.20 / $26,813.50 / $47,218.60
| Facility | | $16,811.20 | $26,813.50 | $47,218.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.20 / $21,340.91 / $31,604.91
| Facility | | $8,128.20 | $21,340.91 | $31,604.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,544.70 / $20,848.95 / $34,926.86
| Facility | | $15,544.70 | $20,848.95 | $34,926.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,217.70 / $16,412.55 / $20,124.41
| Facility | | $11,217.70 | $16,412.55 | $20,124.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $19,882.34 / $28,796.86
| Facility | | $6,409.00 | $19,882.34 | $28,796.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,550.79 / $21,327.94 / $29,023.64
| Facility | | $14,550.79 | $21,327.94 | $29,023.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $16,794.99 / $43,751.40
| Facility | | $3,775.00 | $16,794.99 | $43,751.40 |