- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $16,982.44 / $19,498.45
| Facility | | $13,182.57 | $16,982.44 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $13,489.63 / $21,379.62
| Facility | | $10,471.29 | $13,489.63 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $14,791.08 / $17,782.79
| Facility | | $12,589.25 | $14,791.08 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $19,498.45 / $23,988.33
| Facility | | $12,022.64 | $19,498.45 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $15,488.17 / $24,547.09
| Facility | | $12,022.64 | $15,488.17 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,862.09 / $19,054.61 / $25,118.86
| Facility | | $1,862.09 | $19,054.61 | $25,118.86 |