- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,239.70 / $16,213.20 / $28,366.90
| Facility | | $12,239.70 | $16,213.20 | $28,366.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,253.21 / $13,147.97 / $21,323.53
| Facility | | $9,253.21 | $13,147.97 | $21,323.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $14,624.45 / $28,027.27
| Facility | | $5,939.30 | $14,624.45 | $28,027.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,584.54 / $19,934.91 / $29,258.19
| Facility | | $11,584.54 | $19,934.91 | $29,258.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $17,935.38 / $25,520.08
| Facility | | $3,496.00 | $17,935.38 | $25,520.08 |