- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,156.50 / $23,222.90 / $37,391.90
| Facility | | $10,156.50 | $23,222.90 | $37,391.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,702.11 / $33,085.92
| Facility | | $1,474.01 | $10,702.11 | $33,085.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,810.41 / $24,281.07 / $34,397.05
| Facility | | $16,810.41 | $24,281.07 | $34,397.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,694.15 / $20,365.20 / $42,769.44
| Facility | | $14,694.15 | $20,365.20 | $42,769.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,796.28 / $20,269.47 / $36,716.06
| Facility | | $13,796.28 | $20,269.47 | $36,716.06 |