- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,187.26 / $16,433.70 / $26,460.30
| Facility | | $7,187.26 | $16,433.70 | $26,460.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,505.83 / $23,004.71
| Facility | | $1,474.01 | $9,505.83 | $23,004.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,895.88 / $17,182.48 / $24,341.05
| Facility | | $11,895.88 | $17,182.48 | $24,341.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,398.29 / $14,411.42 / $30,265.76
| Facility | | $10,398.29 | $14,411.42 | $30,265.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,762.93 / $14,411.42 / $30,656.55
| Facility | | $9,762.93 | $14,411.42 | $30,656.55 |