- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,029.40 / $36,731.40 / $64,684.10
| Facility | | $23,029.40 | $36,731.40 | $64,684.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,254.36 / $32,104.21 / $45,698.34
| Facility | | $13,254.36 | $32,104.21 | $45,698.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,294.44 / $28,560.65 / $47,845.77
| Facility | | $21,294.44 | $28,560.65 | $47,845.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,614.00 / $24,157.00 / $31,032.42
| Facility | | $16,614.00 | $24,157.00 | $31,032.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,217.75 / $27,462.98 / $45,054.07
| Facility | | $8,217.75 | $27,462.98 | $45,054.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,376.44 / $32,047.17 / $43,937.21
| Facility | | $23,376.44 | $32,047.17 | $43,937.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,809.37 / $13,903.30 / $33,245.14
| Facility | | $9,809.37 | $13,903.30 | $33,245.14 |