- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,274.40 / $23,645.30 / $38,342.19
| Facility | | $15,274.40 | $23,645.30 | $38,342.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,699.68 / $20,420.66 / $43,013.21
| Facility | | $16,699.68 | $20,420.66 | $43,013.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $15,992.31 / $36,708.12
| Facility | | $100.00 | $15,992.31 | $36,708.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,029.27 / $24,011.72 / $43,535.74
| Facility | | $15,029.27 | $24,011.72 | $43,535.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,330.70 / $32,425.40 / $38,053.96
| Facility | | $22,330.70 | $32,425.40 | $38,053.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,578.94 / $20,993.55 / $43,915.45
| Facility | | $14,578.94 | $20,993.55 | $43,915.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $19,215.34 / $39,339.01
| Facility | | $5,693.00 | $19,215.34 | $39,339.01 |