- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,475.20 / $20,859.30 / $23,605.60
| Facility | | $13,475.20 | $20,859.30 | $23,605.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,747.68 / $19,280.49 / $26,517.82
| Facility | | $12,747.68 | $19,280.49 | $26,517.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,443.34 / $19,201.39 / $29,317.40
| Facility | | $12,443.34 | $19,201.39 | $29,317.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,074.00 / $20,832.00 / $26,741.00
| Facility | | $14,074.00 | $20,832.00 | $26,741.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $24,107.69 / $32,085.40
| Facility | | $5,274.00 | $24,107.69 | $32,085.40 |