- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,480.70 / $29,476.30 / $51,907.80
| Facility | | $18,480.70 | $29,476.30 | $51,907.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,548.87 / $18,548.87 / $18,548.87
| Facility | | $18,548.87 | $18,548.87 | $18,548.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,308.87 / $24,103.72 / $35,039.90
| Facility | | $7,308.87 | $24,103.72 | $35,039.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,088.40 / $22,919.40 / $38,395.35
| Facility | | $17,088.40 | $22,919.40 | $38,395.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,012.82 / $18,100.50 / $21,996.46
| Facility | | $12,012.82 | $18,100.50 | $21,996.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $21,758.47 / $32,792.46
| Facility | | $6,600.00 | $21,758.47 | $32,792.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,569.73 / $23,446.49 / $31,874.67
| Facility | | $16,569.73 | $23,446.49 | $31,874.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,871.85 / $11,349.77 / $26,678.61
| Facility | | $7,871.85 | $11,349.77 | $26,678.61 |