- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,250.80 / $24,272.30 / $34,367.00
| Facility | | $13,250.80 | $24,272.30 | $34,367.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,159.46 / $26,431.78 / $42,651.17
| Facility | | $16,159.46 | $26,431.78 | $42,651.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,776.84 / $21,834.20 / $38,846.51
| Facility | | $13,776.84 | $21,834.20 | $38,846.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $20,600.55 / $45,936.08
| Facility | | $7,117.00 | $20,600.55 | $45,936.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $20,151.75 / $40,821.19
| Facility | | $3,308.00 | $20,151.75 | $40,821.19 |