- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $19,498.45 / $33,884.42
| Facility | | $15,488.17 | $19,498.45 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $17,782.79 / $18,620.87
| Facility | | $17,782.79 | $17,782.79 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $19,498.45 / $31,622.78
| Facility | | $11,220.18 | $19,498.45 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $26,302.68 / $33,113.11
| Facility | | $16,595.87 | $26,302.68 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $23,988.33 / $39,810.72
| Facility | | $14,454.40 | $23,988.33 | $39,810.72 |