- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $19,054.61 / $44,668.36
| Facility | | $9,772.37 | $19,054.61 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $15,848.93 / $29,512.09
| Facility | | $14,454.40 | $15,848.93 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $9,120.11 / $16,982.44
| Facility | | $5,623.41 | $9,120.11 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $15,488.17 / $20,892.96
| Facility | | $11,481.54 | $15,488.17 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $21,877.62 / $33,113.11
| Facility | | $6,918.31 | $21,877.62 | $33,113.11 |