- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,265.00 / $31,300.20 / $42,743.10
| Facility | | $17,265.00 | $31,300.20 | $42,743.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,166.00 / $32,641.00 / $45,991.30
| Facility | | $16,166.00 | $32,641.00 | $45,991.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,581.48 / $28,062.74 / $42,593.80
| Facility | | $16,581.48 | $28,062.74 | $42,593.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,547.13 / $31,547.13 / $38,307.23
| Facility | | $31,547.13 | $31,547.13 | $38,307.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,897.72 / $35,114.44 / $51,099.40
| Facility | | $18,897.72 | $35,114.44 | $51,099.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,234.30 / $30,063.40 / $42,299.00
| Facility | | $17,234.30 | $30,063.40 | $42,299.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,598.56 / $25,845.75 / $40,001.41
| Facility | | $15,598.56 | $25,845.75 | $40,001.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,777.45 / $21,088.61
| Facility | | $2,621.40 | $14,777.45 | $21,088.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,904.34 / $24,132.27 / $43,773.13
| Facility | | $8,904.34 | $24,132.27 | $43,773.13 |