- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,263.30 / $24,192.20 / $42,327.20
| Facility | | $18,263.30 | $24,192.20 | $42,327.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,646.33 / $19,889.23 / $30,397.75
| Facility | | $11,646.33 | $19,889.23 | $30,397.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $20,045.03 / $40,752.35
| Facility | | $5,939.30 | $20,045.03 | $40,752.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,772.64 / $23,210.41 / $37,790.78
| Facility | | $13,772.64 | $23,210.41 | $37,790.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $24,931.22 / $38,079.36
| Facility | | $3,496.00 | $24,931.22 | $38,079.36 |