- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $18,197.01 / $28,183.83
| Facility | | $14,125.38 | $18,197.01 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $12,882.50 / $22,908.68
| Facility | | $11,481.54 | $12,882.50 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $11,220.18 / $19,498.45
| Facility | | $8,128.31 | $11,220.18 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $23,988.33 / $26,915.35
| Facility | | $16,218.10 | $23,988.33 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $12,022.64 / $21,877.62
| Facility | | $3,311.31 | $12,022.64 | $21,877.62 |