- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,080.70 / $23,960.70 / $33,925.69
| Facility | | $13,080.70 | $23,960.70 | $33,925.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,107.88 / $22,614.94 / $35,537.19
| Facility | | $14,107.88 | $22,614.94 | $35,537.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,599.96 / $21,553.88 / $38,347.76
| Facility | | $13,599.96 | $21,553.88 | $38,347.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $20,336.06 / $45,346.31
| Facility | | $7,117.00 | $20,336.06 | $45,346.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $19,893.03 / $40,297.08
| Facility | | $3,308.00 | $19,893.03 | $40,297.08 |