- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $17,079.50 / $27,893.70
| Facility | | $6,303.00 | $17,079.50 | $27,893.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,558.03 / $31,025.03 / $41,628.89
| Facility | | $22,558.03 | $31,025.03 | $41,628.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,482.34 / $25,381.18 / $35,580.25
| Facility | | $18,482.34 | $25,381.18 | $35,580.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,090.56 / $28,188.65 / $35,536.67
| Facility | | $16,090.56 | $28,188.65 | $35,536.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,090.56 / $28,423.30 / $37,271.44
| Facility | | $16,090.56 | $28,423.30 | $37,271.44 |