- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,837.90 / $21,461.30 / $29,307.30
| Facility | | $11,837.90 | $21,461.30 | $29,307.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,158.00 / $23,382.71 / $33,097.04
| Facility | | $11,158.00 | $23,382.71 | $33,097.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,299.00 / $19,872.97 / $29,204.95
| Facility | | $11,299.00 | $19,872.97 | $29,204.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,630.67 / $21,630.67 / $26,265.81
| Facility | | $21,630.67 | $21,630.67 | $26,265.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,658.09 / $23,521.14 / $42,173.18
| Facility | | $16,658.09 | $23,521.14 | $42,173.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,816.90 / $20,613.30 / $29,067.00
| Facility | | $11,816.90 | $20,613.30 | $29,067.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,695.34 / $17,573.11 / $27,368.48
| Facility | | $10,695.34 | $17,573.11 | $27,368.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $10,073.84 / $14,095.38
| Facility | | $2,621.40 | $10,073.84 | $14,095.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,105.37 / $16,546.58 / $30,013.57
| Facility | | $6,105.37 | $16,546.58 | $30,013.57 |