- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,725.36 / $17,664.09 / $28,441.40
| Facility | | $7,725.36 | $17,664.09 | $28,441.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,064.57 / $24,043.21
| Facility | | $1,474.01 | $9,064.57 | $24,043.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,786.50 / $18,468.90 / $26,163.42
| Facility | | $12,786.50 | $18,468.90 | $26,163.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,176.81 / $15,490.38 / $32,531.71
| Facility | | $11,176.81 | $15,490.38 | $32,531.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,493.86 / $15,490.38 / $32,951.75
| Facility | | $10,493.86 | $15,490.38 | $32,951.75 |