- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $23,988.33 / $39,810.72
| Facility | | $15,848.93 | $23,988.33 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $18,620.87 / $31,622.78
| Facility | | $13,803.84 | $18,620.87 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $14,454.40 / $18,197.01
| Facility | | $6,309.57 | $14,454.40 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $20,417.38 / $29,512.09
| Facility | | $12,302.69 | $20,417.38 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $18,620.87 / $25,703.96
| Facility | | $12,589.25 | $18,620.87 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $14,791.08 / $25,118.86
| Facility | | $7,413.10 | $14,791.08 | $25,118.86 |