- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,760.60 / $34,707.69 / $61,120.30
| Facility | | $21,760.60 | $34,707.69 | $61,120.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,435.96 / $29,199.63 / $42,867.98
| Facility | | $12,435.96 | $29,199.63 | $42,867.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,121.23 / $26,987.11 / $45,209.72
| Facility | | $20,121.23 | $26,987.11 | $45,209.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,176.03 / $26,426.40 / $32,333.21
| Facility | | $16,176.03 | $26,426.40 | $32,333.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,823.35 / $26,341.68 / $37,431.91
| Facility | | $7,823.35 | $26,341.68 | $37,431.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,745.99 / $28,050.22 / $38,295.00
| Facility | | $18,745.99 | $28,050.22 | $38,295.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,268.94 / $13,168.95 / $31,413.50
| Facility | | $9,268.94 | $13,168.95 | $31,413.50 |