- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,679.23 / $15,037.80 / $20,535.50
| Facility | | $8,679.23 | $15,037.80 | $20,535.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,495.96 / $44,495.96 / $44,495.96
| Facility | | $44,495.96 | $44,495.96 | $44,495.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,534.00 / $14,411.61 / $21,980.00
| Facility | | $8,534.00 | $14,411.61 | $21,980.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,574.55 / $14,100.53 / $20,463.71
| Facility | | $7,574.55 | $14,100.53 | $20,463.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,156.46 / $15,156.46 / $18,404.28
| Facility | | $15,156.46 | $15,156.46 | $18,404.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,225.13 / $17,584.93 / $27,544.61
| Facility | | $11,225.13 | $17,584.93 | $27,544.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,294.76 / $14,716.80 / $20,322.09
| Facility | | $8,294.76 | $14,716.80 | $20,322.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,025.65 / $12,435.70 / $19,176.91
| Facility | | $7,025.65 | $12,435.70 | $19,176.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,195.95 / $9,918.56
| Facility | | $2,621.40 | $7,195.95 | $9,918.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,150.88 / $11,594.08 / $21,030.31
| Facility | | $5,150.88 | $11,594.08 | $21,030.31 |