- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,746.30 / $17,153.09 / $22,545.00
| Facility | | $11,746.30 | $17,153.09 | $22,545.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,331.24 / $17,242.34 / $29,163.10
| Facility | | $6,331.24 | $17,242.34 | $29,163.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,932.61 / $17,229.28 / $28,837.93
| Facility | | $11,932.61 | $17,229.28 | $28,837.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,775.22 / $19,228.11 / $28,074.61
| Facility | | $14,775.22 | $19,228.11 | $28,074.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,797.20 / $16,419.38 / $26,211.29
| Facility | | $9,797.20 | $16,419.38 | $26,211.29 |