- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,550.95 / $28,717.80 / $48,126.00
| Facility | | $9,550.95 | $28,717.80 | $48,126.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,652.73 / $49,938.33 / $64,754.65
| Facility | | $33,652.73 | $49,938.33 | $64,754.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $37,952.44 / $60,681.96
| Facility | | $17,646.00 | $37,952.44 | $60,681.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,277.81 / $40,885.82 / $85,738.86
| Facility | | $21,277.81 | $40,885.82 | $85,738.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,006.04 / $17,767.24 / $26,772.93
| Facility | | $13,006.04 | $17,767.24 | $26,772.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $40,615.83 / $60,696.94
| Facility | | $17,648.00 | $40,615.83 | $60,696.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $27,176.20 / $52,203.13
| Facility | | $5,281.00 | $27,176.20 | $52,203.13 |