- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,315.00 / $19,648.00 / $23,724.50
| Facility | | $10,315.00 | $19,648.00 | $23,724.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $17,741.80 / $32,214.36
| Facility | | $6,916.00 | $17,741.80 | $32,214.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,644.73 / $16,943.31 / $20,542.70
| Facility | | $14,644.73 | $16,943.31 | $20,542.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,018.34 / $16,062.31 / $21,667.80
| Facility | | $11,018.34 | $16,062.31 | $21,667.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,563.75 / $20,055.64 / $30,454.01
| Facility | | $11,563.75 | $20,055.64 | $30,454.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,767.83 / $17,696.16 / $24,452.46
| Facility | | $12,767.83 | $17,696.16 | $24,452.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,685.94 / $18,500.16 / $22,362.92
| Facility | | $13,685.94 | $18,500.16 | $22,362.92 |