- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $17,782.79 / $40,738.03
| Facility | | $12,302.69 | $17,782.79 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $23,442.29 / $33,113.11
| Facility | | $8,709.64 | $23,442.29 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $12,302.69 / $29,512.09
| Facility | | $8,128.31 | $12,302.69 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $20,417.38 / $25,118.86
| Facility | | $14,791.08 | $20,417.38 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $27,542.29 / $41,686.94
| Facility | | $6,918.31 | $27,542.29 | $41,686.94 |