- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,760.60 / $24,579.10 / $34,328.00
| Facility | | $13,760.60 | $24,579.10 | $34,328.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,321.00 / $24,582.87 / $36,973.00
| Facility | | $12,321.00 | $24,582.87 | $36,973.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,474.00 / $23,047.12 / $33,447.64
| Facility | | $12,474.00 | $23,047.12 | $33,447.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,773.03 / $24,773.03 / $30,081.53
| Facility | | $24,773.03 | $24,773.03 | $30,081.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,863.98 / $24,672.62 / $43,697.63
| Facility | | $12,863.98 | $24,672.62 | $43,697.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,557.70 / $24,054.40 / $33,564.90
| Facility | | $13,557.70 | $24,054.40 | $33,564.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,249.09 / $20,325.97 / $31,344.39
| Facility | | $12,249.09 | $20,325.97 | $31,344.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $11,434.47 / $16,070.43
| Facility | | $2,621.40 | $11,434.47 | $16,070.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,870.54 / $18,950.36 / $34,373.74
| Facility | | $6,870.54 | $18,950.36 | $34,373.74 |