- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $28,183.83 / $36,307.81
| Facility | | $20,417.38 | $28,183.83 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $25,118.86 / $34,673.69
| Facility | | $16,982.44 | $25,118.86 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $29,512.09 / $41,686.94
| Facility | | $15,848.93 | $29,512.09 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $26,915.35 / $32,359.37
| Facility | | $16,982.44 | $26,915.35 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $29,512.09 / $41,686.94
| Facility | | $14,454.40 | $29,512.09 | $41,686.94 |