- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,308.80 / $27,255.30 / $32,910.10
| Facility | | $14,308.80 | $27,255.30 | $32,910.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $24,611.05 / $41,265.94
| Facility | | $12,397.00 | $24,611.05 | $41,265.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,280.72 / $23,131.20 / $31,576.55
| Facility | | $20,280.72 | $23,131.20 | $31,576.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,617.53 / $16,345.87 / $74,999.25
| Facility | | $10,617.53 | $16,345.87 | $74,999.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,414.24 / $23,875.66 / $37,845.40
| Facility | | $12,414.24 | $23,875.66 | $37,845.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,046.71 / $34,598.56
| Facility | | $3,775.00 | $24,046.71 | $34,598.56 |