- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,508.70 / $17,432.09 / $23,392.50
| Facility | | $10,508.70 | $17,432.09 | $23,392.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,613.68 / $12,747.96 / $14,611.21
| Facility | | $10,613.68 | $12,747.96 | $14,611.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,391.68 / $14,617.44 / $22,600.61
| Facility | | $8,391.68 | $14,617.44 | $22,600.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,629.03 / $14,035.50 / $32,189.02
| Facility | | $8,629.03 | $14,035.50 | $32,189.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,244.98 / $13,825.90 / $19,586.07
| Facility | | $10,244.98 | $13,825.90 | $19,586.07 |