- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,737.46 / $17,691.70 / $28,485.90
| Facility | | $7,737.46 | $17,691.70 | $28,485.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,426.95 / $23,292.68
| Facility | | $1,474.01 | $9,426.95 | $23,292.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,806.53 / $17,995.00 / $26,204.39
| Facility | | $12,806.53 | $17,995.00 | $26,204.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,194.31 / $15,514.64 / $32,582.65
| Facility | | $11,194.31 | $15,514.64 | $32,582.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,510.30 / $15,514.64 / $33,003.36
| Facility | | $10,510.30 | $15,514.64 | $33,003.36 |