- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,140.00 / $19,314.70 / $23,322.00
| Facility | | $10,140.00 | $19,314.70 | $23,322.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $17,440.80 / $29,937.34
| Facility | | $6,916.00 | $17,440.80 | $29,937.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,108.40 / $16,655.86 / $20,289.90
| Facility | | $14,108.40 | $16,655.86 | $20,289.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,298.62 / $13,681.71 / $18,037.48
| Facility | | $9,298.62 | $13,681.71 | $18,037.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,323.52 / $17,440.80 / $26,623.08
| Facility | | $10,323.52 | $17,440.80 | $26,623.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,378.12 / $15,473.93 / $20,351.04
| Facility | | $11,378.12 | $15,473.93 | $20,351.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,902.76 / $22,908.29
| Facility | | $3,775.00 | $15,902.76 | $22,908.29 |