- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $19,054.61 / $28,840.32
| Facility | | $13,803.84 | $19,054.61 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $17,378.01 / $25,118.86
| Facility | | $10,964.78 | $17,378.01 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $16,595.87 / $30,199.52
| Facility | | $12,022.64 | $16,595.87 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.89 / $186.21 / $281.84
| Facility | | $125.89 | $186.21 | $281.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $18,620.87 / $27,542.29
| Facility | | $12,302.69 | $18,620.87 | $27,542.29 |