- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,347.80 / $28,705.40 / $47,608.90
| Facility | | $22,347.80 | $28,705.40 | $47,608.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,778.00 / $27,189.90 / $33,586.67
| Facility | | $3,778.00 | $27,189.90 | $33,586.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,914.21 / $26,067.05 / $45,202.96
| Facility | | $17,914.21 | $26,067.05 | $45,202.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,887.40 / $31,950.67 / $46,040.00
| Facility | | $24,887.40 | $31,950.67 | $46,040.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,778.04 / $29,381.53 / $76,142.13
| Facility | | $14,778.04 | $29,381.53 | $76,142.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,778.04 / $29,317.61 / $41,204.46
| Facility | | $14,778.04 | $29,317.61 | $41,204.46 |