- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,819.30 / $27,002.90 / $43,891.00
| Facility | | $15,819.30 | $27,002.90 | $43,891.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,312.02 / $17,709.05 / $29,211.44
| Facility | | $10,312.02 | $17,709.05 | $29,211.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,514.40 / $21,455.14 / $33,847.55
| Facility | | $13,514.40 | $21,455.14 | $33,847.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,350.03 / $18,685.83 / $34,303.60
| Facility | | $10,350.03 | $18,685.83 | $34,303.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,553.00 / $22,408.70 / $30,823.62
| Facility | | $6,553.00 | $22,408.70 | $30,823.62 |