- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $19,498.45 / $43,651.58
| Facility | | $13,489.63 | $19,498.45 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $17,378.01 / $22,908.68
| Facility | | $17,378.01 | $17,378.01 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $12,589.25 / $27,542.29
| Facility | | $7,762.47 | $12,589.25 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $20,417.38 / $26,915.35
| Facility | | $15,135.61 | $20,417.38 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $30,199.52 / $45,708.82
| Facility | | $6,918.31 | $30,199.52 | $45,708.82 |