- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $25,703.96 / $42,657.95
| Facility | | $16,982.44 | $25,703.96 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $20,417.38 / $33,884.42
| Facility | | $14,791.08 | $20,417.38 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $18,197.01 / $23,442.29
| Facility | | $16,218.10 | $18,197.01 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $21,877.62 / $32,359.37
| Facility | | $13,803.84 | $21,877.62 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $20,892.96 / $28,840.32
| Facility | | $15,488.17 | $20,892.96 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $23,442.29 / $32,359.37
| Facility | | $7,943.28 | $23,442.29 | $32,359.37 |