- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,806.30 / $32,012.50 / $38,654.40
| Facility | | $16,806.30 | $32,012.50 | $38,654.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $28,906.75 / $51,661.03
| Facility | | $6,916.00 | $28,906.75 | $51,661.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,501.77 / $26,982.68 / $31,594.26
| Facility | | $23,501.77 | $26,982.68 | $31,594.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,351.64 / $22,703.50 / $32,459.08
| Facility | | $16,351.64 | $22,703.50 | $32,459.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,440.95 / $30,476.04 / $47,446.05
| Facility | | $18,440.95 | $30,476.04 | $47,446.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,475.32 / $27,393.55 / $35,436.62
| Facility | | $20,475.32 | $27,393.55 | $35,436.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,357.58 / $37,968.68
| Facility | | $3,775.00 | $26,357.58 | $37,968.68 |