- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,072.07 / $16,170.30 / $26,036.20
| Facility | | $7,072.07 | $16,170.30 | $26,036.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,527.69 / $24,131.36
| Facility | | $1,474.01 | $8,527.69 | $24,131.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,705.22 / $16,907.09 / $23,950.92
| Facility | | $11,705.22 | $16,907.09 | $23,950.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,697.00 / $13,789.19 / $29,780.68
| Facility | | $7,697.00 | $13,789.19 | $29,780.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,697.00 / $13,445.00 / $25,565.67
| Facility | | $7,697.00 | $13,445.00 | $25,565.67 |