- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $26,302.68 / $37,153.52
| Facility | | $17,378.01 | $26,302.68 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $18,620.87 / $31,622.78
| Facility | | $6,918.31 | $18,620.87 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $21,877.62 / $36,307.81
| Facility | | $15,488.17 | $21,877.62 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $23,988.33 / $34,673.69
| Facility | | $19,054.61 | $23,988.33 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $22,908.68 / $33,884.42
| Facility | | $12,022.64 | $22,908.68 | $33,884.42 |