- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,789.30 / $28,121.40 / $45,600.40
| Facility | | $17,789.30 | $28,121.40 | $45,600.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,147.75 / $19,836.37 / $45,329.79
| Facility | | $15,147.75 | $19,836.37 | $45,329.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $17,994.49 / $40,379.93
| Facility | | $100.00 | $17,994.49 | $40,379.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,406.50 / $29,516.00 / $54,365.52
| Facility | | $18,406.50 | $29,516.00 | $54,365.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,533.38 / $34,171.75 / $40,103.44
| Facility | | $23,533.38 | $34,171.75 | $40,103.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,373.03 / $24,789.01 / $54,365.52
| Facility | | $15,373.03 | $24,789.01 | $54,365.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $22,852.76 / $46,785.81
| Facility | | $5,693.00 | $22,852.76 | $46,785.81 |