- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,159.09 / $34,508.50 / $50,498.40
| Facility | | $19,159.09 | $34,508.50 | $50,498.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,954.00 / $41,920.47 / $60,534.65
| Facility | | $17,954.00 | $41,920.47 | $60,534.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,661.00 / $30,623.52 / $45,201.84
| Facility | | $16,661.00 | $30,623.52 | $45,201.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,491.75 / $34,491.75 / $41,882.83
| Facility | | $34,491.75 | $34,491.75 | $41,882.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,690.03 / $38,023.98 / $63,856.32
| Facility | | $25,690.03 | $38,023.98 | $63,856.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,876.50 / $34,221.69 / $49,872.60
| Facility | | $18,876.50 | $34,221.69 | $49,872.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,988.36 / $28,258.20 / $44,124.66
| Facility | | $15,988.36 | $28,258.20 | $44,124.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,625.32 / $23,831.67
| Facility | | $2,621.40 | $16,625.32 | $23,831.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,735.46 / $26,384.79 / $47,858.92
| Facility | | $9,735.46 | $26,384.79 | $47,858.92 |