- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,660.59 / $32,660.30 / $44,291.50
| Facility | | $20,660.59 | $32,660.30 | $44,291.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,596.34 / $25,661.92 / $58,642.23
| Facility | | $19,596.34 | $25,661.92 | $58,642.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,567.11 / $46,953.77
| Facility | | $100.00 | $22,567.11 | $46,953.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,562.51 / $35,638.03 / $60,658.46
| Facility | | $22,562.51 | $35,638.03 | $60,658.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,444.65 / $44,207.30 / $51,881.02
| Facility | | $30,444.65 | $44,207.30 | $51,881.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,602.78 / $28,790.06 / $60,658.46
| Facility | | $19,602.78 | $28,790.06 | $60,658.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $26,541.29 / $54,337.23
| Facility | | $5,693.00 | $26,541.29 | $54,337.23 |