- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,183.83 / $40,738.03
| Facility | | $19,054.61 | $28,183.83 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $15,135.61 / $25,703.96
| Facility | | $5,623.41 | $15,135.61 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $22,908.68 / $38,904.51
| Facility | | $16,982.44 | $22,908.68 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $26,302.68 / $38,018.94
| Facility | | $20,892.96 | $26,302.68 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $25,118.86 / $37,153.52
| Facility | | $13,182.57 | $25,118.86 | $37,153.52 |