- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,958.80 / $34,207.80 / $41,305.10
| Facility | | $17,958.80 | $34,207.80 | $41,305.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $30,889.05 / $53,021.41
| Facility | | $6,916.00 | $30,889.05 | $53,021.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,383.77 / $28,725.58 / $33,298.12
| Facility | | $24,383.77 | $28,725.58 | $33,298.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,294.15 / $23,402.20 / $32,147.82
| Facility | | $15,294.15 | $23,402.20 | $32,147.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,266.96 / $30,725.16 / $47,438.97
| Facility | | $18,266.96 | $30,725.16 | $47,438.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,278.98 / $28,029.46 / $34,567.30
| Facility | | $20,278.98 | $28,029.46 | $34,567.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,577.00 / $31,929.22 / $38,934.57
| Facility | | $18,577.00 | $31,929.22 | $38,934.57 |