- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,316.30 / $32,404.10 / $57,063.70
| Facility | | $20,316.30 | $32,404.10 | $57,063.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,152.17 / $25,437.92 / $37,670.75
| Facility | | $11,152.17 | $25,437.92 | $37,670.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,785.75 / $25,195.93 / $42,209.07
| Facility | | $18,785.75 | $25,195.93 | $42,209.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,437.15 / $22,045.65 / $25,900.10
| Facility | | $14,437.15 | $22,045.65 | $25,900.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $23,493.39 / $34,607.60
| Facility | | $6,746.00 | $23,493.39 | $34,607.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,486.90 / $25,083.62 / $34,113.72
| Facility | | $17,486.90 | $25,083.62 | $34,113.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $20,296.72 / $52,873.52
| Facility | | $3,775.00 | $20,296.72 | $52,873.52 |