- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,339.80 / $29,937.60 / $33,879.19
| Facility | | $19,339.80 | $29,937.60 | $33,879.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,761.84 / $29,915.82 / $42,195.62
| Facility | | $19,761.84 | $29,915.82 | $42,195.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,858.88 / $27,806.98 / $38,107.58
| Facility | | $17,858.88 | $27,806.98 | $38,107.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,308.00 / $26,741.00 / $35,880.00
| Facility | | $18,308.00 | $26,741.00 | $35,880.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $34,599.74 / $46,049.47
| Facility | | $5,274.00 | $34,599.74 | $46,049.47 |