- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,664.70 / $29,010.40 / $80,994.00
| Facility | | $13,664.70 | $29,010.40 | $80,994.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,961.95 / $15,961.95 / $23,400.07
| Facility | | $15,961.95 | $15,961.95 | $23,400.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,792.10 / $18,803.16 / $39,396.07
| Facility | | $10,792.10 | $18,803.16 | $39,396.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,286.93 / $22,487.11 / $35,024.00
| Facility | | $17,286.93 | $22,487.11 | $35,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,296.88 / $22,711.24 / $71,613.00
| Facility | | $11,296.88 | $22,711.24 | $71,613.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,226.00 / $21,601.43 / $71,613.00
| Facility | | $9,226.00 | $21,601.43 | $71,613.00 |