- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $38,904.51 / $50,118.72
| Facility | | $26,915.35 | $38,904.51 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $16,595.87 / $35,481.34
| Facility | | $8,912.51 | $16,595.87 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $19,054.61 / $35,481.34
| Facility | | $11,748.98 | $19,054.61 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $19,054.61 / $35,481.34
| Facility | | $11,748.98 | $19,054.61 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $22,387.21 / $38,018.94
| Facility | | $5,370.32 | $22,387.21 | $38,018.94 |