- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,565.49 / $19,835.40 / $25,897.90
| Facility | | $9,565.49 | $19,835.40 | $25,897.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,879.83 / $48,505.18
| Facility | | $5,840.42 | $17,879.83 | $48,505.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,207.66 / $18,532.11 / $28,002.24
| Facility | | $11,207.66 | $18,532.11 | $28,002.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,317.51 / $26,317.51 / $26,317.51
| Facility | | $26,317.51 | $26,317.51 | $26,317.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,148.05 / $18,669.43 / $28,829.99
| Facility | | $16,148.05 | $18,669.43 | $28,829.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,879.83 / $48,505.18
| Facility | | $5,840.42 | $17,879.83 | $48,505.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $14,086.95 / $37,907.23
| Facility | | $5,840.42 | $14,086.95 | $37,907.23 |