- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,608.70 / $37,655.40 / $66,311.10
| Facility | | $23,608.70 | $37,655.40 | $66,311.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,711.92 / $30,606.90 / $45,281.39
| Facility | | $13,711.92 | $30,606.90 | $45,281.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,830.07 / $29,279.05 / $49,049.25
| Facility | | $21,830.07 | $29,279.05 | $49,049.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,192.27 / $26,978.47 / $36,600.51
| Facility | | $18,192.27 | $26,978.47 | $36,600.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,126.56 / $28,239.78 / $41,639.86
| Facility | | $9,126.56 | $28,239.78 | $41,639.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,040.24 / $30,150.88 / $41,005.19
| Facility | | $21,040.24 | $30,150.88 | $41,005.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,585.90 / $64,444.32
| Facility | | $3,775.00 | $23,585.90 | $64,444.32 |