- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $24,547.09 / $31,622.78
| Facility | | $17,378.01 | $24,547.09 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $21,379.62 / $29,512.09
| Facility | | $13,803.84 | $21,379.62 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $25,703.96 / $36,307.81
| Facility | | $13,489.63 | $25,703.96 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $25,118.86 / $28,840.32
| Facility | | $13,803.84 | $25,118.86 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $25,703.96 / $36,307.81
| Facility | | $12,589.25 | $25,703.96 | $36,307.81 |