- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,354.79 / $18,495.59 / $25,257.40
| Facility | | $10,354.79 | $18,495.59 | $25,257.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,784.00 / $20,563.56 / $29,253.65
| Facility | | $9,784.00 | $20,563.56 | $29,253.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,798.19 / $16,661.00 / $25,169.16
| Facility | | $9,798.19 | $16,661.00 | $25,169.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,641.56 / $18,641.56 / $22,636.18
| Facility | | $18,641.56 | $18,641.56 | $22,636.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,297.78 / $15,912.00 / $46,971.61
| Facility | | $14,297.78 | $15,912.00 | $46,971.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,202.10 / $18,495.59 / $25,257.40
| Facility | | $10,202.10 | $18,495.59 | $25,257.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,217.37 / $15,295.18 / $23,586.47
| Facility | | $9,217.37 | $15,295.18 | $23,586.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,657.37 / $11,991.41
| Facility | | $2,621.40 | $8,657.37 | $11,991.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $14,260.04 / $25,866.04
| Facility | | $5,404.00 | $14,260.04 | $25,866.04 |