- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,574.80 / $21,651.50 / $38,128.19
| Facility | | $13,574.80 | $21,651.50 | $38,128.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $18,836.89 / $26,811.31
| Facility | | $6,746.00 | $18,836.89 | $26,811.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,552.08 / $16,835.16 / $28,202.84
| Facility | | $12,552.08 | $16,835.16 | $28,202.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,318.31 / $14,941.30 / $18,510.93
| Facility | | $10,318.31 | $14,941.30 | $18,510.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $16,076.44 / $26,223.64
| Facility | | $6,409.00 | $16,076.44 | $26,223.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,606.21 / $18,653.00 / $25,573.57
| Facility | | $13,606.21 | $18,653.00 | $25,573.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $13,561.66 / $35,328.50
| Facility | | $3,775.00 | $13,561.66 | $35,328.50 |