- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,354.00 / $22,001.70 / $36,417.80
| Facility | | $10,354.00 | $22,001.70 | $36,417.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,738.88 / $38,194.72 / $49,526.80
| Facility | | $25,738.88 | $38,194.72 | $49,526.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,704.50 / $29,225.75 / $46,728.90
| Facility | | $15,704.50 | $29,225.75 | $46,728.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,385.24 / $31,484.64 / $66,024.28
| Facility | | $16,385.24 | $31,484.64 | $66,024.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,647.00 / $31,276.72 / $46,740.44
| Facility | | $17,647.00 | $31,276.72 | $46,740.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $21,119.67 / $40,199.67
| Facility | | $5,281.00 | $21,119.67 | $40,199.67 |