- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,802.00 / $20,715.80 / $31,753.80
| Facility | | $8,802.00 | $20,715.80 | $31,753.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,477.14 / $14,750.24 / $31,352.96
| Facility | | $10,477.14 | $14,750.24 | $31,352.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $14,181.65 / $27,042.83
| Facility | | $100.00 | $14,181.65 | $27,042.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,634.30 / $24,694.75 / $44,945.12
| Facility | | $15,634.30 | $24,694.75 | $44,945.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,537.00 / $48,537.00 / $48,537.00
| Facility | | $48,537.00 | $48,537.00 | $48,537.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,824.55 / $19,188.38 / $46,054.80
| Facility | | $10,824.55 | $19,188.38 | $46,054.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $16,912.72 / $34,624.92
| Facility | | $5,693.00 | $16,912.72 | $34,624.92 |