- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,808.20 / $23,084.60 / $30,341.10
| Facility | | $15,808.20 | $23,084.60 | $30,341.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,266.51 / $17,066.06 / $28,864.95
| Facility | | $6,266.51 | $17,066.06 | $28,864.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,058.92 / $23,187.20 / $38,810.12
| Facility | | $16,058.92 | $23,187.20 | $38,810.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,884.50 / $25,877.22 / $37,782.85
| Facility | | $19,884.50 | $25,877.22 | $37,782.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,884.50 / $24,056.32 / $37,782.85
| Facility | | $19,884.50 | $24,056.32 | $37,782.85 |