- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $25,703.96 / $33,113.11
| Facility | | $17,378.01 | $25,703.96 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $10,715.19 / $23,442.29
| Facility | | $5,888.44 | $10,715.19 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $12,302.69 / $22,908.68
| Facility | | $8,912.51 | $12,302.69 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $12,302.69 / $22,908.68
| Facility | | $8,912.51 | $12,302.69 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $15,848.93 / $25,118.86
| Facility | | $5,370.32 | $15,848.93 | $25,118.86 |