- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,457.59 / $16,457.59 / $19,505.50
| Facility | | $16,457.59 | $16,457.59 | $19,505.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,817.79 / $19,228.18 / $28,764.19
| Facility | | $11,817.79 | $19,228.18 | $28,764.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,460.28 / $16,659.93 / $28,344.96
| Facility | | $13,460.28 | $16,659.93 | $28,344.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,042.68 / $19,322.50 / $31,628.16
| Facility | | $12,042.68 | $19,322.50 | $31,628.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.85 / $10,971.89 / $16,139.12
| Facility | | $173.85 | $10,971.89 | $16,139.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,703.98 / $19,089.82 / $22,435.32
| Facility | | $13,703.98 | $19,089.82 | $22,435.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,367.84 / $20,362.08 / $25,668.06
| Facility | | $12,367.84 | $20,362.08 | $25,668.06 |