- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,429.59 / $21,763.30 / $38,077.60
| Facility | | $16,429.59 | $21,763.30 | $38,077.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,785.08 / $17,479.48 / $28,812.18
| Facility | | $11,785.08 | $17,479.48 | $28,812.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $19,614.66 / $38,305.74
| Facility | | $5,939.30 | $19,614.66 | $38,305.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,289.58 / $20,880.09 / $33,996.60
| Facility | | $13,289.58 | $20,880.09 | $33,996.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $22,428.14 / $34,256.21
| Facility | | $3,496.00 | $22,428.14 | $34,256.21 |