- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,744.70 / $28,050.90 / $45,486.00
| Facility | | $17,744.70 | $28,050.90 | $45,486.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,276.83 / $24,794.84 / $57,077.62
| Facility | | $20,276.83 | $24,794.84 | $57,077.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,459.66 / $40,275.33
| Facility | | $100.00 | $20,459.66 | $40,275.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,893.96 / $29,442.00 / $51,647.16
| Facility | | $19,893.96 | $29,442.00 | $51,647.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,114.03 / $39,371.05 / $46,205.27
| Facility | | $27,114.03 | $39,371.05 | $46,205.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,589.18 / $24,726.86 / $52,097.62
| Facility | | $17,589.18 | $24,726.86 | $52,097.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,717.00 / $19,643.70 / $44,944.69
| Facility | | $5,717.00 | $19,643.70 | $44,944.69 |