- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,186.40 / $25,577.80 / $41,183.50
| Facility | | $11,186.40 | $25,577.80 | $41,183.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,073.69 / $34,305.90
| Facility | | $1,474.01 | $9,073.69 | $34,305.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,515.05 / $26,682.00 / $37,885.03
| Facility | | $18,515.05 | $26,682.00 | $37,885.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,184.19 / $22,430.30 / $47,106.41
| Facility | | $16,184.19 | $22,430.30 | $47,106.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,195.27 / $22,430.30 / $47,714.64
| Facility | | $15,195.27 | $22,430.30 | $47,714.64 |