- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,198.70 / $26,623.30 / $30,128.50
| Facility | | $17,198.70 | $26,623.30 | $30,128.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,637.63 / $25,163.93 / $34,609.74
| Facility | | $16,637.63 | $25,163.93 | $34,609.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,881.79 / $24,507.29 / $34,480.00
| Facility | | $15,881.79 | $24,507.29 | $34,480.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,630.43 / $24,474.00 / $31,908.00
| Facility | | $16,630.43 | $24,474.00 | $31,908.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,044.00 / $21,684.00 / $40,823.97
| Facility | | $4,044.00 | $21,684.00 | $40,823.97 |