- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $19,054.61 / $40,738.03
| Facility | | $7,244.36 | $19,054.61 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $17,782.79 / $21,379.62
| Facility | | $17,782.79 | $17,782.79 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $21,379.62 / $36,307.81
| Facility | | $14,125.38 | $21,379.62 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $20,892.96 / $37,153.52
| Facility | | $12,302.69 | $20,892.96 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $15,135.61 / $36,307.81
| Facility | | $10,964.78 | $15,135.61 | $36,307.81 |