- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,737.50 / $21,521.10 / $28,286.10
| Facility | | $14,737.50 | $21,521.10 | $28,286.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,242.10 / $14,276.22 / $24,146.31
| Facility | | $5,242.10 | $14,276.22 | $24,146.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,511.89 / $21,716.38 / $38,735.87
| Facility | | $15,511.89 | $21,716.38 | $38,735.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,537.75 / $24,124.58 / $35,223.86
| Facility | | $18,537.75 | $24,124.58 | $35,223.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,292.09 / $20,600.59 / $32,886.05
| Facility | | $12,292.09 | $20,600.59 | $32,886.05 |