- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,923.20 / $24,712.90 / $32,481.30
| Facility | | $16,923.20 | $24,712.90 | $32,481.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,623.92 / $18,039.43 / $30,511.29
| Facility | | $6,623.92 | $18,039.43 | $30,511.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,191.66 / $24,822.73 / $41,547.65
| Facility | | $17,191.66 | $24,822.73 | $41,547.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,287.09 / $27,702.50 / $40,447.91
| Facility | | $21,287.09 | $27,702.50 | $40,447.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,115.13 / $23,655.88 / $37,763.37
| Facility | | $14,115.13 | $23,655.88 | $37,763.37 |