- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,951.23 / $20,172.59 / $39,019.00
| Facility | | $14,951.23 | $20,172.59 | $39,019.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,224.10 / $18,713.16 / $31,628.01
| Facility | | $12,224.10 | $18,713.16 | $31,628.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,693.00 / $22,028.18 / $38,472.42
| Facility | | $16,693.00 | $22,028.18 | $38,472.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,798.13 / $21,578.97 / $40,366.00
| Facility | | $10,798.13 | $21,578.97 | $40,366.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,385.20 / $21,119.40 / $40,366.00
| Facility | | $10,385.20 | $21,119.40 | $40,366.00 |