- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $32,359.37 / $41,686.94
| Facility | | $21,877.62 | $32,359.37 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $12,589.25 / $26,915.35
| Facility | | $6,760.83 | $12,589.25 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $15,488.17 / $28,840.32
| Facility | | $11,220.18 | $15,488.17 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $15,488.17 / $28,840.32
| Facility | | $11,220.18 | $15,488.17 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $19,952.62 / $31,622.78
| Facility | | $5,370.32 | $19,952.62 | $31,622.78 |