- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,801.30 / $37,962.50 / $66,852.00
| Facility | | $23,801.30 | $37,962.50 | $66,852.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $31,487.98 / $46,653.11
| Facility | | $6,746.00 | $31,487.98 | $46,653.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,008.14 / $29,517.88 / $49,449.34
| Facility | | $22,008.14 | $29,517.88 | $49,449.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,368.83 / $24,642.75 / $29,365.50
| Facility | | $16,368.83 | $24,642.75 | $29,365.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,100.07 / $27,947.23 / $42,838.54
| Facility | | $8,100.07 | $27,947.23 | $42,838.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,592.61 / $17,592.61 / $17,592.61
| Facility | | $17,592.61 | $17,592.61 | $17,592.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,778.29 / $61,943.09
| Facility | | $3,775.00 | $23,778.29 | $61,943.09 |