- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,361.00 / $20,403.80 / $33,875.19
| Facility | | $13,361.00 | $20,403.80 | $33,875.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,456.97 / $17,538.80 / $29,643.16
| Facility | | $11,456.97 | $17,538.80 | $29,643.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,587.46 / $21,763.04 / $31,292.60
| Facility | | $17,587.46 | $21,763.04 | $31,292.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,933.13 / $20,905.88 / $35,024.48
| Facility | | $10,933.13 | $20,905.88 | $35,024.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,515.04 / $20,860.40 / $29,318.27
| Facility | | $10,515.04 | $20,860.40 | $29,318.27 |