- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,452.80 / $24,025.90 / $31,578.40
| Facility | | $16,452.80 | $24,025.90 | $31,578.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,911.92 / $18,823.77 / $31,837.86
| Facility | | $6,911.92 | $18,823.77 | $31,837.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,713.77 / $24,132.71 / $40,392.71
| Facility | | $16,713.77 | $24,132.71 | $40,392.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,695.34 / $26,932.43 / $39,323.54
| Facility | | $20,695.34 | $26,932.43 | $39,323.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,722.76 / $23,552.90 / $36,713.64
| Facility | | $13,722.76 | $23,552.90 | $36,713.64 |