- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,757.00 / $21,047.00 / $35,250.19
| Facility | | $8,757.00 | $21,047.00 | $35,250.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,681.55 / $35,141.79 / $45,568.08
| Facility | | $23,681.55 | $35,141.79 | $45,568.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,201.03 / $28,288.80 / $45,230.81
| Facility | | $15,201.03 | $28,288.80 | $45,230.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,859.94 / $30,475.26 / $63,907.59
| Facility | | $15,859.94 | $30,475.26 | $63,907.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,647.00 / $30,274.01 / $45,241.97
| Facility | | $17,647.00 | $30,274.01 | $45,241.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $20,442.59 / $38,910.90
| Facility | | $5,281.00 | $20,442.59 | $38,910.90 |