- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,938.80 / $30,207.00 / $53,194.60
| Facility | | $18,938.80 | $30,207.00 | $53,194.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,126.00 / $27,871.53 / $39,518.76
| Facility | | $12,126.00 | $27,871.53 | $39,518.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,512.02 / $23,487.57 / $39,347.17
| Facility | | $17,512.02 | $23,487.57 | $39,347.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,775.35 / $20,536.25 / $28,300.80
| Facility | | $15,775.35 | $20,536.25 | $28,300.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,130.67 / $23,920.41 / $39,242.35
| Facility | | $7,130.67 | $23,920.41 | $39,242.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,361.00 / $27,913.26 / $38,269.55
| Facility | | $20,361.00 | $27,913.26 | $38,269.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $18,920.54 / $49,288.53
| Facility | | $3,775.00 | $18,920.54 | $49,288.53 |