- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,245.90 / $22,431.60 / $31,760.70
| Facility | | $12,245.90 | $22,431.60 | $31,760.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,756.80 / $18,686.06 / $29,702.73
| Facility | | $11,756.80 | $18,686.06 | $29,702.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,732.06 / $20,178.39 / $35,900.55
| Facility | | $12,732.06 | $20,178.39 | $35,900.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $19,038.29 / $42,452.47
| Facility | | $7,117.00 | $19,038.29 | $42,452.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $18,623.53 / $37,725.48
| Facility | | $3,308.00 | $18,623.53 | $37,725.48 |