- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $19,952.62 / $47,863.01
| Facility | | $10,232.93 | $19,952.62 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $22,908.68 / $44,668.36
| Facility | | $16,595.87 | $22,908.68 | $44,668.36 |
- 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
- $14,454.40 / $28,840.32 / $40,738.03
| Facility | | $14,454.40 | $28,840.32 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $19,952.62 / $46,773.51
| Facility | | $7,244.36 | $19,952.62 | $46,773.51 |