- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,574.00 / $21,457.80 / $29,099.50
| Facility | | $13,574.00 | $21,457.80 | $29,099.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,540.97 / $19,003.75 / $43,746.57
| Facility | | $15,540.97 | $19,003.75 | $43,746.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $15,656.24 / $30,992.20
| Facility | | $100.00 | $15,656.24 | $30,992.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,381.52 / $22,234.84 / $39,508.08
| Facility | | $14,381.52 | $22,234.84 | $39,508.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,781.28 / $30,175.55 / $35,413.57
| Facility | | $20,781.28 | $30,175.55 | $35,413.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,606.54 / $19,051.36 / $39,852.68
| Facility | | $13,606.54 | $19,051.36 | $39,852.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $17,437.66 / $35,699.62
| Facility | | $5,693.00 | $17,437.66 | $35,699.62 |