- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $29,512.09 / $38,018.94
| Facility | | $20,417.38 | $29,512.09 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $12,589.25 / $26,915.35
| Facility | | $6,456.54 | $12,589.25 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $14,454.40 / $26,915.35
| Facility | | $10,471.29 | $14,454.40 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $14,454.40 / $26,915.35
| Facility | | $10,471.29 | $14,454.40 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $18,620.87 / $29,512.09
| Facility | | $5,370.32 | $18,620.87 | $29,512.09 |