- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $17,378.01 / $33,884.42
| Facility | | $10,232.93 | $17,378.01 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $14,791.08 / $26,915.35
| Facility | | $9,772.37 | $14,791.08 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $13,489.63 / $21,877.62
| Facility | | $6,918.31 | $13,489.63 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $18,620.87 / $26,302.68
| Facility | | $13,489.63 | $18,620.87 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $19,054.61 / $30,199.52
| Facility | | $7,244.36 | $19,054.61 | $30,199.52 |