- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,028.20 / $13,166.10 / $21,372.80
| Facility | | $9,028.20 | $13,166.10 | $21,372.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,334.15 / $20,334.15 / $20,334.15
| Facility | | $20,334.15 | $20,334.15 | $20,334.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,090.04 / $28,560.99 / $36,616.66
| Facility | | $20,090.04 | $28,560.99 | $36,616.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,601.23 / $20,496.48 / $25,924.34
| Facility | | $10,601.23 | $20,496.48 | $25,924.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,419.42 / $14,159.20 / $22,641.20
| Facility | | $9,419.42 | $14,159.20 | $22,641.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,015.91 / $18,837.34 / $28,619.39
| Facility | | $11,015.91 | $18,837.34 | $28,619.39 |