- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,424.50 / $16,424.50 / $19,466.30
| Facility | | $16,424.50 | $16,424.50 | $19,466.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,719.03 / $15,813.38 / $23,655.86
| Facility | | $9,719.03 | $15,813.38 | $23,655.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,433.22 / $16,626.45 / $28,287.98
| Facility | | $13,433.22 | $16,626.45 | $28,287.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,018.47 / $19,283.66 / $31,564.58
| Facility | | $12,018.47 | $19,283.66 | $31,564.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142.97 / $9,023.35 / $14,297.16
| Facility | | $142.97 | $9,023.35 | $14,297.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,676.43 / $19,051.43 / $22,390.22
| Facility | | $13,676.43 | $19,051.43 | $22,390.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,464.82 / $20,170.75 / $25,616.46
| Facility | | $11,464.82 | $20,170.75 | $25,616.46 |