- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,606.00 / $23,296.20 / $41,024.60
| Facility | | $14,606.00 | $23,296.20 | $41,024.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $19,518.38 / $28,381.86
| Facility | | $6,600.00 | $19,518.38 | $28,381.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,505.58 / $18,114.03 / $30,345.23
| Facility | | $13,505.58 | $18,114.03 | $30,345.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,382.68 / $15,512.50 / $20,420.40
| Facility | | $11,382.68 | $15,512.50 | $20,420.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $16,998.96 / $27,053.80
| Facility | | $6,600.00 | $16,998.96 | $27,053.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,621.45 / $11,621.45 / $11,621.45
| Facility | | $11,621.45 | $11,621.45 | $11,621.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $14,591.86 / $38,012.19
| Facility | | $3,775.00 | $14,591.86 | $38,012.19 |