- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,631.06 / $22,021.40 / $35,457.30
| Facility | | $9,631.06 | $22,021.40 | $35,457.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,758.10 / $29,432.85
| Facility | | $1,474.01 | $10,758.10 | $29,432.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,940.69 / $23,024.83 / $32,617.43
| Facility | | $15,940.69 | $23,024.83 | $32,617.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,933.91 / $19,311.56 / $40,556.65
| Facility | | $13,933.91 | $19,311.56 | $40,556.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,082.50 / $19,311.56 / $41,080.32
| Facility | | $13,082.50 | $19,311.56 | $41,080.32 |