- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $19,952.62 / $31,622.78
| Facility | | $14,454.40 | $19,952.62 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $16,982.44 / $26,302.68
| Facility | | $11,748.98 | $16,982.44 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $21,379.62 / $31,622.78
| Facility | | $13,182.57 | $21,379.62 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $18,197.01 / $29,512.09
| Facility | | $11,481.54 | $18,197.01 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $13,182.57 / $22,387.21
| Facility | | $8,317.64 | $13,182.57 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $21,379.62 / $30,199.52
| Facility | | $8,709.64 | $21,379.62 | $30,199.52 |