- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,582.80 / $25,318.10 / $34,574.00
| Facility | | $13,582.80 | $25,318.10 | $34,574.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,802.63 / $4,324.96 / $25,884.22
| Facility | | $1,802.63 | $4,324.96 | $25,884.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,752.72 / $23,127.00 / $32,644.49
| Facility | | $12,752.72 | $23,127.00 | $32,644.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,517.83 / $25,517.83 / $30,985.94
| Facility | | $25,517.83 | $25,517.83 | $30,985.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,453.00 / $23,687.40 / $34,214.80
| Facility | | $10,453.00 | $23,687.40 | $34,214.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,617.36 / $20,937.07 / $32,286.76
| Facility | | $12,617.36 | $20,937.07 | $32,286.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,004.02 / $16,965.14
| Facility | | $2,621.40 | $12,004.02 | $16,965.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,118.00 / $12,436.81 / $32,433.88
| Facility | | $1,118.00 | $12,436.81 | $32,433.88 |