- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,961.00 / $28,515.40 / $48,338.30
| Facility | | $18,961.00 | $28,515.40 | $48,338.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,676.24 / $28,800.61 / $39,702.26
| Facility | | $12,676.24 | $28,800.61 | $39,702.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $22,476.42 / $37,653.26
| Facility | | $12,397.00 | $22,476.42 | $37,653.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,626.00 / $18,739.00 / $28,906.99
| Facility | | $8,626.00 | $18,739.00 | $28,906.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,676.24 / $24,114.97 / $39,998.43
| Facility | | $12,676.24 | $24,114.97 | $39,998.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,122.81 / $28,274.74 / $38,953.51
| Facility | | $21,122.81 | $28,274.74 | $38,953.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $8,985.90 / $30,793.63
| Facility | | $3,775.00 | $8,985.90 | $30,793.63 |