- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,822.40 / $24,213.30 / $37,253.00
| Facility | | $17,822.40 | $24,213.30 | $37,253.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,570.95 / $24,732.39 / $29,478.25
| Facility | | $18,570.95 | $24,732.39 | $29,478.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,449.50 / $21,596.98 / $32,285.75
| Facility | | $14,449.50 | $21,596.98 | $32,285.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,547.77 / $21,464.63 / $38,850.00
| Facility | | $15,547.77 | $21,464.63 | $38,850.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $221.58 / $362.80
| Facility | | $150.00 | $221.58 | $362.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,125.08 / $23,700.44 / $39,005.40
| Facility | | $17,125.08 | $23,700.44 | $39,005.40 |