- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $19,054.61 / $28,840.32
| Facility | | $7,079.46 | $19,054.61 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $15,488.17 / $25,118.86
| Facility | | $4,073.80 | $15,488.17 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $22,387.21 / $35,481.34
| Facility | | $14,454.40 | $22,387.21 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $20,417.38 / $35,481.34
| Facility | | $11,481.54 | $20,417.38 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $15,488.17 / $28,840.32
| Facility | | $10,715.19 | $15,488.17 | $28,840.32 |