- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,876.30 / $25,322.40 / $44,592.70
| Facility | | $15,876.30 | $25,322.40 | $44,592.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,293.06 / $21,667.52 / $31,761.58
| Facility | | $7,293.06 | $21,667.52 | $31,761.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,680.23 / $19,689.50 / $32,984.51
| Facility | | $14,680.23 | $19,689.50 | $32,984.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,673.69 / $17,017.66 / $20,942.47
| Facility | | $11,673.69 | $17,017.66 | $20,942.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $18,994.13 / $29,724.41
| Facility | | $6,409.00 | $18,994.13 | $29,724.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,019.47 / $21,038.30 / $28,602.71
| Facility | | $15,019.47 | $21,038.30 | $28,602.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,860.98 / $43,337.34
| Facility | | $3,775.00 | $15,860.98 | $43,337.34 |