- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,508.40 / $26,313.90 / $42,368.70
| Facility | | $11,508.40 | $26,313.90 | $42,368.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,040.84 / $37,471.47
| Facility | | $1,474.01 | $13,040.84 | $37,471.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,047.86 / $27,512.84 / $38,975.25
| Facility | | $19,047.86 | $27,512.84 | $38,975.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,649.91 / $23,075.78 / $48,461.99
| Facility | | $16,649.91 | $23,075.78 | $48,461.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,632.55 / $23,075.78 / $49,087.72
| Facility | | $15,632.55 | $23,075.78 | $49,087.72 |