- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,299.09 / $24,239.70 / $42,410.40
| Facility | | $18,299.09 | $24,239.70 | $42,410.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,478.81 / $19,690.00 / $27,847.56
| Facility | | $13,478.81 | $19,690.00 | $27,847.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,707.53 / $21,107.09 / $43,150.03
| Facility | | $5,707.53 | $21,107.09 | $43,150.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,799.70 / $23,256.01 / $37,865.03
| Facility | | $13,799.70 | $23,256.01 | $37,865.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $24,980.21 / $38,154.18
| Facility | | $3,496.00 | $24,980.21 | $38,154.18 |