- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,396.40 / $30,456.00 / $37,427.00
| Facility | | $17,396.40 | $30,456.00 | $37,427.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,068.98 / $25,700.09 / $40,441.94
| Facility | | $19,068.98 | $25,700.09 | $40,441.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $18,203.38 / $38,153.87
| Facility | | $100.00 | $18,203.38 | $38,153.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,092.04 / $31,120.00 / $44,125.33
| Facility | | $19,092.04 | $31,120.00 | $44,125.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,498.90 / $37,025.80 / $43,452.92
| Facility | | $25,498.90 | $37,025.80 | $43,452.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,572.00 / $25,502.11 / $47,631.40
| Facility | | $16,572.00 | $25,502.11 | $47,631.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,974.00 / $25,305.61 / $40,430.83
| Facility | | $6,974.00 | $25,305.61 | $40,430.83 |