- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,436.00 / $21,660.90 / $34,837.00
| Facility | | $15,436.00 | $21,660.90 | $34,837.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,561.17 / $19,063.78 / $27,963.25
| Facility | | $12,561.17 | $19,063.78 | $27,963.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,465.93 / $18,764.00 / $33,648.00
| Facility | | $13,465.93 | $18,764.00 | $33,648.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.41 / $191.91 / $314.22
| Facility | | $134.41 | $191.91 | $314.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,832.04 / $20,526.96 / $33,782.58
| Facility | | $14,832.04 | $20,526.96 | $33,782.58 |