- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $22,908.68 / $33,113.11
| Facility | | $12,882.50 | $22,908.68 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $14,454.40 / $14,454.40
| Facility | | $14,454.40 | $14,454.40 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $20,417.38 / $27,542.29
| Facility | | $7,943.28 | $20,417.38 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $10,471.29 / $21,877.62
| Facility | | $10,471.29 | $10,471.29 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $23,442.29 / $28,840.32
| Facility | | $6,165.95 | $23,442.29 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $12,022.64 / $25,118.86
| Facility | | $5,623.41 | $12,022.64 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $21,379.62 / $31,622.78
| Facility | | $12,589.25 | $21,379.62 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $12,302.69 / $20,417.38
| Facility | | $10,000.00 | $12,302.69 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $16,595.87 / $29,512.09
| Facility | | $5,248.07 | $16,595.87 | $29,512.09 |