- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,098.40 / $22,286.70 / $36,139.19
| Facility | | $14,098.40 | $22,286.70 | $36,139.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,320.76 / $18,753.41 / $42,855.02
| Facility | | $14,320.76 | $18,753.41 | $42,855.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $16,499.84 / $36,579.72
| Facility | | $100.00 | $16,499.84 | $36,579.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,805.97 / $24,328.85 / $43,085.72
| Facility | | $15,805.97 | $24,328.85 | $43,085.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,248.58 / $32,306.15 / $37,914.01
| Facility | | $22,248.58 | $32,306.15 | $37,914.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,690.05 / $19,645.77 / $43,085.72
| Facility | | $14,690.05 | $19,645.77 | $43,085.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $18,111.25 / $37,078.66
| Facility | | $5,693.00 | $18,111.25 | $37,078.66 |