- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,890.09 / $26,699.90 / $43,295.30
| Facility | | $16,890.09 | $26,699.90 | $43,295.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,636.93 / $23,096.03 / $52,778.71
| Facility | | $17,636.93 | $23,096.03 | $52,778.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,317.95 / $40,695.33
| Facility | | $100.00 | $20,317.95 | $40,695.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,108.23 / $31,438.72 / $51,617.41
| Facility | | $20,108.23 | $31,438.72 | $51,617.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,400.55 / $39,787.10 / $46,693.54
| Facility | | $27,400.55 | $39,787.10 | $46,693.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,768.29 / $23,705.50 / $51,617.41
| Facility | | $17,768.29 | $23,705.50 | $51,617.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $21,697.58 / $44,420.84
| Facility | | $5,693.00 | $21,697.58 | $44,420.84 |