- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,826.79 / $20,735.00 / $34,361.10
| Facility | | $9,826.79 | $20,735.00 | $34,361.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,780.25 / $35,288.26 / $45,758.01
| Facility | | $23,780.25 | $35,288.26 | $45,758.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,817.60 / $27,575.25 / $44,089.92
| Facility | | $14,817.60 | $27,575.25 | $44,089.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,459.90 / $29,706.57 / $62,295.61
| Facility | | $15,459.90 | $29,706.57 | $62,295.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,289.37 / $11,289.37 / $13,609.60
| Facility | | $11,289.37 | $11,289.37 | $13,609.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,647.00 / $29,510.39 / $44,100.81
| Facility | | $17,647.00 | $29,510.39 | $44,100.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $19,926.95 / $37,929.43
| Facility | | $5,281.00 | $19,926.95 | $37,929.43 |