- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,063.00 / $34,512.80 / $58,134.00
| Facility | | $9,063.00 | $34,512.80 | $58,134.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,556.66 / $57,129.82 / $79,140.32
| Facility | | $38,556.66 | $57,129.82 | $79,140.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $45,844.77 / $73,300.95
| Facility | | $17,646.00 | $45,844.77 | $73,300.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,702.59 / $49,388.15 / $103,568.51
| Facility | | $25,702.59 | $49,388.15 | $103,568.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,630.03 / $17,938.71 / $19,174.47
| Facility | | $15,630.03 | $17,938.71 | $19,174.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $49,062.01 / $73,319.05
| Facility | | $17,648.00 | $49,062.01 | $73,319.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $32,827.56 / $63,058.93
| Facility | | $5,281.00 | $32,827.56 | $63,058.93 |