- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,260.90 / $22,864.50 / $40,004.19
| Facility | | $17,260.90 | $22,864.50 | $40,004.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,120.04 / $15,908.20 / $21,796.46
| Facility | | $10,120.04 | $15,908.20 | $21,796.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $18,699.41 / $39,124.00
| Facility | | $5,939.30 | $18,699.41 | $39,124.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,891.35 / $21,936.56 / $35,716.73
| Facility | | $14,891.35 | $21,936.56 | $35,716.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $23,562.94 / $40,474.62
| Facility | | $3,496.00 | $23,562.94 | $40,474.62 |