- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $27,542.29 / $52,480.75
| Facility | | $15,488.17 | $27,542.29 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $38,018.94 / $38,018.94
| Facility | | $38,018.94 | $38,018.94 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $29,512.09 / $50,118.72
| Facility | | $16,982.44 | $29,512.09 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $18,197.01 / $42,657.95
| Facility | | $100.00 | $18,197.01 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $23,988.33 / $42,657.95
| Facility | | $15,848.93 | $23,988.33 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $42,657.95 / $42,657.95
| Facility | | $42,657.95 | $42,657.95 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $25,118.86 / $47,863.01
| Facility | | $16,595.87 | $25,118.86 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $23,442.29 / $46,773.51
| Facility | | $5,754.40 | $23,442.29 | $46,773.51 |