- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,976.80 / $23,857.80 / $38,779.00
| Facility | | $13,976.80 | $23,857.80 | $38,779.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,724.62 / $16,696.28 / $21,979.84
| Facility | | $11,724.62 | $16,696.28 | $21,979.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,985.01 / $18,956.23 / $29,905.29
| Facility | | $11,985.01 | $18,956.23 | $29,905.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,332.91 / $18,494.16 / $34,506.10
| Facility | | $10,332.91 | $18,494.16 | $34,506.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,434.67 / $21,574.16 / $28,826.98
| Facility | | $14,434.67 | $21,574.16 | $28,826.98 |