- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,330.00 / $21,581.40 / $26,059.00
| Facility | | $11,330.00 | $21,581.40 | $26,059.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $19,487.59 / $31,733.42
| Facility | | $6,916.00 | $19,487.59 | $31,733.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,837.55 / $18,330.80 / $22,167.28
| Facility | | $15,837.55 | $18,330.80 | $22,167.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,047.70 / $14,079.40 / $19,077.22
| Facility | | $9,047.70 | $14,079.40 | $19,077.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,910.06 / $18,763.50 / $28,151.32
| Facility | | $10,910.06 | $18,763.50 | $28,151.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,033.99 / $16,742.50 / $21,007.37
| Facility | | $12,033.99 | $16,742.50 | $21,007.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $17,769.07 / $25,596.74
| Facility | | $3,775.00 | $17,769.07 | $25,596.74 |