- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,237.09 / $28,301.70 / $45,306.80
| Facility | | $18,237.09 | $28,301.70 | $45,306.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,566.93 / $16,566.93 / $16,566.93
| Facility | | $16,566.93 | $16,566.93 | $16,566.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,759.97 / $21,091.96 / $29,789.32
| Facility | | $10,759.97 | $21,091.96 | $29,789.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,852.31 / $22,577.14 / $39,558.15
| Facility | | $16,852.31 | $22,577.14 | $39,558.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,547.61 / $24,970.89 / $34,262.99
| Facility | | $16,547.61 | $24,970.89 | $34,262.99 |