- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,195.01 / $21,024.40 / $33,852.00
| Facility | | $9,195.01 | $21,024.40 | $33,852.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,200.60 / $29,452.89
| Facility | | $1,474.01 | $11,200.60 | $29,452.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,198.00 / $20,821.62 / $31,140.65
| Facility | | $15,198.00 | $20,821.62 | $31,140.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,303.04 / $18,437.21 / $38,720.42
| Facility | | $13,303.04 | $18,437.21 | $38,720.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,747.92 / $17,928.50 / $33,240.12
| Facility | | $11,747.92 | $17,928.50 | $33,240.12 |