- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $16,982.44 / $34,673.69
| Facility | | $14,454.40 | $16,982.44 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $14,791.08 / $22,908.68
| Facility | | $9,120.11 | $14,791.08 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $13,489.63 / $20,417.38
| Facility | | $11,481.54 | $13,489.63 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $10,471.29 / $13,489.63
| Facility | | $8,912.51 | $10,471.29 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $14,454.40 / $22,387.21
| Facility | | $11,481.54 | $14,454.40 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $12,022.64 / $15,488.17
| Facility | | $8,709.64 | $12,022.64 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $13,803.84 / $16,982.44
| Facility | | $10,715.19 | $13,803.84 | $16,982.44 |