- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,607.10 / $19,706.30 / $35,588.19
| Facility | | $14,607.10 | $19,706.30 | $35,588.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,330.00 / $16,608.82 / $28,571.22
| Facility | | $10,330.00 | $16,608.82 | $28,571.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,707.53 / $17,827.41 / $35,470.40
| Facility | | $5,707.53 | $17,827.41 | $35,470.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,134.00 / $19,515.04 / $31,774.05
| Facility | | $13,134.00 | $19,515.04 | $31,774.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $22,501.00 / $33,924.80
| Facility | | $3,496.00 | $22,501.00 | $33,924.80 |