- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,465.70 / $34,769.40 / $47,480.70
| Facility | | $19,465.70 | $34,769.40 | $47,480.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,194.35 / $25,194.35 / $25,194.35
| Facility | | $25,194.35 | $25,194.35 | $25,194.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,001.00 / $29,168.15 / $47,626.00
| Facility | | $14,001.00 | $29,168.15 | $47,626.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,661.00 / $31,113.62 / $44,830.84
| Facility | | $16,661.00 | $31,113.62 | $44,830.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,043.76 / $35,043.76 / $42,553.14
| Facility | | $35,043.76 | $35,043.76 | $42,553.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,385.12 / $33,996.79 / $50,371.64
| Facility | | $17,385.12 | $33,996.79 | $50,371.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,178.59 / $34,027.19 / $46,987.30
| Facility | | $19,178.59 | $34,027.19 | $46,987.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,897.08 / $28,710.45 / $44,339.57
| Facility | | $15,897.08 | $28,710.45 | $44,339.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,219.47 / $23,232.60
| Facility | | $2,621.40 | $16,219.47 | $23,232.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,719.02 / $26,807.05 / $48,624.87
| Facility | | $9,719.02 | $26,807.05 | $48,624.87 |