- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $26,915.35 / $36,307.81
| Facility | | $14,125.38 | $26,915.35 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $23,442.29 / $38,018.94
| Facility | | $15,488.17 | $23,442.29 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $28,840.32 / $38,904.51
| Facility | | $13,803.84 | $28,840.32 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $20,892.96 / $42,657.95
| Facility | | $7,079.46 | $20,892.96 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $20,417.38 / $40,738.03
| Facility | | $6,456.54 | $20,417.38 | $40,738.03 |