- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,587.50 / $15,032.16 / $33,551.30
| Facility | | $14,587.50 | $15,032.16 | $33,551.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $25,090.50 / $44,852.06
| Facility | | $12,397.00 | $25,090.50 | $44,852.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,655.84 / $23,961.27 / $28,106.98
| Facility | | $20,655.84 | $23,961.27 | $28,106.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,626.00 / $18,739.00 / $59,999.40
| Facility | | $8,626.00 | $18,739.00 | $59,999.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,045.90 / $27,766.05 / $44,852.06
| Facility | | $14,045.90 | $27,766.05 | $44,852.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,776.66 / $24,961.36 / $32,519.07
| Facility | | $17,776.66 | $24,961.36 | $32,519.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $14,040.00 / $31,301.27
| Facility | | $3,775.00 | $14,040.00 | $31,301.27 |