- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,276.90 / $19,037.30 / $33,500.19
| Facility | | $11,276.90 | $19,037.30 | $33,500.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,458.37 / $14,080.48 / $23,151.62
| Facility | | $9,458.37 | $14,080.48 | $23,151.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,258.14 / $17,547.77 / $24,230.33
| Facility | | $10,258.14 | $17,547.77 | $24,230.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,616.20 / $32,616.20 / $38,277.87
| Facility | | $32,616.20 | $32,616.20 | $38,277.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $16,590.87 / $23,698.16
| Facility | | $1,787.00 | $16,590.87 | $23,698.16 |