- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $25,118.86 / $46,773.51
| Facility | | $18,197.01 | $25,118.86 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $23,442.29 / $30,902.95
| Facility | | $18,620.87 | $23,442.29 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $25,118.86 / $31,622.78
| Facility | | $15,848.93 | $25,118.86 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $26,915.35 / $50,118.72
| Facility | | $17,378.01 | $26,915.35 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $25,118.86 / $33,113.11
| Facility | | $15,848.93 | $25,118.86 | $33,113.11 |