- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,097.84 / $16,229.20 / $26,131.10
| Facility | | $7,097.84 | $16,229.20 | $26,131.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,472.66 / $21,913.61
| Facility | | $1,474.01 | $11,472.66 | $21,913.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,747.88 / $16,968.71 / $24,038.21
| Facility | | $11,747.88 | $16,968.71 | $24,038.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,268.93 / $14,232.12 / $29,889.21
| Facility | | $10,268.93 | $14,232.12 | $29,889.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,641.45 / $14,232.12 / $30,275.14
| Facility | | $9,641.45 | $14,232.12 | $30,275.14 |