- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $19,054.61 / $38,018.94
| Facility | | $16,218.10 | $19,054.61 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $16,595.87 / $25,118.86
| Facility | | $10,232.93 | $16,595.87 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $15,135.61 / $21,877.62
| Facility | | $12,589.25 | $15,135.61 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $11,748.98 / $15,135.61
| Facility | | $9,772.37 | $11,748.98 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $15,848.93 / $25,118.86
| Facility | | $12,589.25 | $15,848.93 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $13,489.63 / $16,982.44
| Facility | | $9,549.93 | $13,489.63 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $15,488.17 / $18,620.87
| Facility | | $11,748.98 | $15,488.17 | $18,620.87 |