- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,347.80 / $37,239.19 / $65,578.30
| Facility | | $23,347.80 | $37,239.19 | $65,578.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,319.03 / $30,432.78 / $44,240.55
| Facility | | $11,319.03 | $30,432.78 | $44,240.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,588.82 / $28,955.48 / $48,507.20
| Facility | | $21,588.82 | $28,955.48 | $48,507.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,318.42 / $24,641.10 / $29,275.06
| Facility | | $16,318.42 | $24,641.10 | $29,275.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,047.64 / $26,935.67 / $41,402.98
| Facility | | $8,047.64 | $26,935.67 | $41,402.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,920.54 / $29,304.14 / $39,840.57
| Facility | | $20,920.54 | $29,304.14 | $39,840.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,325.25 / $63,732.13
| Facility | | $3,775.00 | $23,325.25 | $63,732.13 |