- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,447.50 / $35,138.80 / $42,429.30
| Facility | | $18,447.50 | $35,138.80 | $42,429.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $31,729.70 / $47,350.44
| Facility | | $12,397.00 | $31,729.70 | $47,350.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,022.80 / $28,325.62 / $32,689.94
| Facility | | $24,022.80 | $28,325.62 | $32,689.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,892.00 / $22,824.15 / $32,203.60
| Facility | | $14,892.00 | $22,824.15 | $32,203.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,194.12 / $28,560.00 / $45,305.29
| Facility | | $16,194.12 | $28,560.00 | $45,305.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,956.29 / $25,213.59 / $35,342.51
| Facility | | $17,956.29 | $25,213.59 | $35,342.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $31,002.13 / $44,606.06
| Facility | | $3,775.00 | $31,002.13 | $44,606.06 |