- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,491.32 / $15,003.90 / $22,809.76
| Facility | | $9,491.32 | $15,003.90 | $22,809.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,940.63 / $14,601.20 / $33,611.90
| Facility | | $11,940.63 | $14,601.20 | $33,611.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $13,065.55 / $31,561.00
| Facility | | $100.00 | $13,065.55 | $31,561.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,430.69 / $16,055.87 / $27,866.09
| Facility | | $11,430.69 | $16,055.87 | $27,866.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,966.93 / $23,184.85 / $27,209.39
| Facility | | $15,966.93 | $23,184.85 | $27,209.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,575.64 / $13,659.82 / $29,006.24
| Facility | | $10,575.64 | $13,659.82 | $29,006.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $12,192.89 / $24,962.15
| Facility | | $5,693.00 | $12,192.89 | $24,962.15 |