- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,891.58 / $18,044.09 / $29,053.30
| Facility | | $7,891.58 | $18,044.09 | $29,053.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,331.23 / $27,182.45
| Facility | | $1,474.01 | $9,331.23 | $27,182.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,061.61 / $18,866.27 / $26,726.34
| Facility | | $13,061.61 | $18,866.27 | $26,726.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,417.28 / $15,823.66 / $33,231.65
| Facility | | $11,417.28 | $15,823.66 | $33,231.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,719.64 / $15,823.66 / $33,660.73
| Facility | | $10,719.64 | $15,823.66 | $33,660.73 |