- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,114.90 / $18,192.09 / $36,971.30
| Facility | | $14,114.90 | $18,192.09 | $36,971.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,533.07 / $21,533.07 / $21,533.07
| Facility | | $21,533.07 | $21,533.07 | $21,533.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,089.24 / $17,661.16 / $20,191.27
| Facility | | $14,089.24 | $17,661.16 | $20,191.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,266.68 / $19,943.21 / $25,937.01
| Facility | | $11,266.68 | $19,943.21 | $25,937.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $15,993.96 / $24,631.10
| Facility | | $1,286.00 | $15,993.96 | $24,631.10 |