- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,834.50 / $17,392.59 / $26,852.70
| Facility | | $11,834.50 | $17,392.59 | $26,852.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,018.40 / $27,037.49 / $34,663.44
| Facility | | $19,018.40 | $27,037.49 | $34,663.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,319.35 / $25,751.71 / $32,571.25
| Facility | | $13,319.35 | $25,751.71 | $32,571.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,834.50 / $17,789.59 / $28,446.40
| Facility | | $11,834.50 | $17,789.59 | $28,446.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,840.35 / $23,667.17 / $35,957.31
| Facility | | $13,840.35 | $23,667.17 | $35,957.31 |