- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,617.50 / $20,224.20 / $24,420.30
| Facility | | $10,617.50 | $20,224.20 | $24,420.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $18,262.09 / $30,070.01
| Facility | | $6,916.00 | $18,262.09 | $30,070.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,313.58 / $17,265.75 / $20,979.74
| Facility | | $15,313.58 | $17,265.75 | $20,979.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,426.58 / $16,193.10 / $22,710.60
| Facility | | $10,426.58 | $16,193.10 | $22,710.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,345.87 / $18,716.70 / $28,012.70
| Facility | | $10,345.87 | $18,716.70 | $28,012.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,403.18 / $16,013.23 / $23,011.02
| Facility | | $11,403.18 | $16,013.23 | $23,011.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $16,651.64 / $23,987.06
| Facility | | $3,775.00 | $16,651.64 | $23,987.06 |