- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,542.50 / $35,319.80 / $42,647.80
| Facility | | $18,542.50 | $35,319.80 | $42,647.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $31,893.10 / $57,907.86
| Facility | | $12,397.00 | $31,893.10 | $57,907.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,107.01 / $29,638.10 / $34,161.18
| Facility | | $25,107.01 | $29,638.10 | $34,161.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,743.48 / $27,566.15 / $36,384.01
| Facility | | $16,743.48 | $27,566.15 | $36,384.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,650.50 / $33,919.01 / $53,053.95
| Facility | | $20,650.50 | $33,919.01 | $53,053.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,951.19 / $30,628.76 / $38,634.04
| Facility | | $22,951.19 | $30,628.76 | $38,634.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $31,161.78 / $44,835.77
| Facility | | $3,775.00 | $31,161.78 | $44,835.77 |