- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $21,172.00 / $33,479.10
| Facility | | $4,804.00 | $21,172.00 | $33,479.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,601.64 / $22,136.04 / $29,374.94
| Facility | | $11,601.64 | $22,136.04 | $29,374.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $22,014.53
| Facility | | $688.00 | $3,027.00 | $22,014.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,679.80 / $20,026.00 / $35,706.07
| Facility | | $12,679.80 | $20,026.00 | $35,706.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,928.10 / $45,713.89 / $45,713.89
| Facility | | $27,928.10 | $45,713.89 | $45,713.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,108.08 / $15,809.42 / $160,901.04
| Facility | | $8,108.08 | $15,809.42 | $160,901.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,040.14 / $18,460.00 / $35,706.07
| Facility | | $13,040.14 | $18,460.00 | $35,706.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $16,540.16 / $37,814.94
| Facility | | $5,257.00 | $16,540.16 | $37,814.94 |