- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,609.30 / $28,831.10 / $46,421.80
| Facility | | $12,609.30 | $28,831.10 | $46,421.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,464.47 / $23,056.78 / $34,136.73
| Facility | | $13,464.47 | $23,056.78 | $34,136.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $18,651.75 / $40,251.87
| Facility | | $1,474.01 | $18,651.75 | $40,251.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,870.02 / $30,144.79 / $42,703.72
| Facility | | $20,870.02 | $30,144.79 | $42,703.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,242.68 / $25,283.27 / $52,218.21
| Facility | | $18,242.68 | $25,283.27 | $52,218.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,127.99 / $25,283.27 / $53,783.58
| Facility | | $17,127.99 | $25,283.27 | $53,783.58 |