- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $27,542.29 / $46,773.51
| Facility | | $19,498.45 | $27,542.29 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $23,442.29 / $35,481.34
| Facility | | $15,848.93 | $23,442.29 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $28,840.32 / $42,657.95
| Facility | | $17,782.79 | $28,840.32 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $24,547.09 / $39,810.72
| Facility | | $15,488.17 | $24,547.09 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $17,782.79 / $30,199.52
| Facility | | $11,220.18 | $17,782.79 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $28,840.32 / $40,738.03
| Facility | | $10,471.29 | $28,840.32 | $40,738.03 |