- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $19,952.62 / $25,703.96
| Facility | | $14,454.40 | $19,952.62 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $12,589.25 / $22,387.21
| Facility | | $12,302.69 | $12,589.25 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $17,782.79 / $24,547.09
| Facility | | $11,748.98 | $17,782.79 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $20,892.96 / $29,512.09
| Facility | | $10,964.78 | $20,892.96 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $19,498.45 / $24,547.09
| Facility | | $11,748.98 | $19,498.45 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $20,892.96 / $29,512.09
| Facility | | $10,471.29 | $20,892.96 | $29,512.09 |