- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,393.59 / $25,399.90 / $33,384.19
| Facility | | $17,393.59 | $25,399.90 | $33,384.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,049.81 / $20,662.71 / $37,465.26
| Facility | | $7,049.81 | $20,662.71 | $37,465.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,669.55 / $25,512.75 / $42,702.58
| Facility | | $17,669.55 | $25,512.75 | $42,702.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,878.82 / $28,472.57 / $41,572.26
| Facility | | $21,878.82 | $28,472.57 | $41,572.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,878.82 / $26,469.05 / $41,572.26
| Facility | | $21,878.82 | $26,469.05 | $41,572.26 |