- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,333.10 / $15,755.80 / $27,725.70
| Facility | | $9,333.10 | $15,755.80 | $27,725.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,193.50 / $17,998.81 / $30,277.38
| Facility | | $12,193.50 | $17,998.81 | $30,277.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,489.91 / $14,523.01 / $20,053.66
| Facility | | $8,489.91 | $14,523.01 | $20,053.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,817.60 / $32,817.60 / $38,514.24
| Facility | | $32,817.60 | $32,817.60 | $38,514.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $14,981.87 / $19,613.24
| Facility | | $2,520.00 | $14,981.87 | $19,613.24 |