- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $26,302.68 / $40,738.03
| Facility | | $18,620.87 | $26,302.68 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $22,387.21 / $34,673.69
| Facility | | $15,488.17 | $22,387.21 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $22,387.21 / $38,904.51
| Facility | | $9,549.93 | $22,387.21 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $21,379.62 / $37,153.52
| Facility | | $7,585.78 | $21,379.62 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $17,378.01 / $29,512.09
| Facility | | $10,964.78 | $17,378.01 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $28,183.83 / $39,810.72
| Facility | | $7,762.47 | $28,183.83 | $39,810.72 |