- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $18,620.87 / $32,359.37
| Facility | | $14,791.08 | $18,620.87 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $17,782.79 / $34,673.69
| Facility | | $17,378.01 | $17,782.79 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $18,620.87 / $28,183.83
| Facility | | $10,964.78 | $18,620.87 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $25,118.86 / $31,622.78
| Facility | | $15,848.93 | $25,118.86 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $22,908.68 / $35,481.34
| Facility | | $14,125.38 | $22,908.68 | $35,481.34 |