- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,126.87 / $17,904.20 / $29,725.30
| Facility | | $13,126.87 | $17,904.20 | $29,725.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,581.45 / $9,581.45 / $16,640.48
| Facility | | $9,581.45 | $9,581.45 | $16,640.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,676.62 / $16,344.20 / $27,094.51
| Facility | | $10,676.62 | $16,344.20 | $27,094.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,432.89 / $19,571.25 / $28,969.00
| Facility | | $15,432.89 | $19,571.25 | $28,969.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,226.89 / $18,344.79 / $47,741.61
| Facility | | $9,226.89 | $18,344.79 | $47,741.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,226.89 / $18,114.54 / $25,726.60
| Facility | | $9,226.89 | $18,114.54 | $25,726.60 |