- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,731.90 / $17,132.00 / $22,517.30
| Facility | | $11,731.90 | $17,132.00 | $22,517.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,045.09 / $11,016.30 / $18,632.58
| Facility | | $4,045.09 | $11,016.30 | $18,632.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,348.32 / $17,287.43 / $30,835.90
| Facility | | $12,348.32 | $17,287.43 | $30,835.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,757.07 / $19,204.50 / $28,040.13
| Facility | | $14,757.07 | $19,204.50 | $28,040.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,757.07 / $17,853.14 / $28,040.13
| Facility | | $14,757.07 | $17,853.14 | $28,040.13 |