- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,461.60 / $25,056.50 / $34,216.80
| Facility | | $14,461.60 | $25,056.50 | $34,216.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,415.00 / $28,080.50 / $36,828.00
| Facility | | $12,415.00 | $28,080.50 | $36,828.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,413.32 / $23,202.03 / $33,150.14
| Facility | | $13,413.32 | $23,202.03 | $33,150.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,254.18 / $25,254.18 / $30,665.79
| Facility | | $25,254.18 | $25,254.18 | $30,665.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,402.93 / $30,223.85 / $45,203.40
| Facility | | $18,402.93 | $30,223.85 | $45,203.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,821.00 / $25,056.50 / $34,191.00
| Facility | | $13,821.00 | $25,056.50 | $34,191.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,620.96 / $20,720.75 / $31,953.18
| Facility | | $12,620.96 | $20,720.75 | $31,953.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $11,817.01 / $16,673.93
| Facility | | $2,621.40 | $11,817.01 | $16,673.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,128.12 / $19,318.41 / $35,041.37
| Facility | | $7,128.12 | $19,318.41 | $35,041.37 |