- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,784.80 / $23,558.40 / $41,218.40
| Facility | | $17,784.80 | $23,558.40 | $41,218.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,624.00 / $12,955.67 / $31,188.38
| Facility | | $12,624.00 | $12,955.67 | $31,188.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $20,938.91 / $42,127.89
| Facility | | $5,939.30 | $20,938.91 | $42,127.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,411.84 / $22,602.37 / $36,800.78
| Facility | | $13,411.84 | $22,602.37 | $36,800.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $24,278.10 / $37,081.80
| Facility | | $3,496.00 | $24,278.10 | $37,081.80 |