- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $19,952.62 / $31,622.78
| Facility | | $14,454.40 | $19,952.62 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $16,982.44 / $23,988.33
| Facility | | $9,772.37 | $16,982.44 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $23,988.33 / $34,673.69
| Facility | | $21,877.62 | $23,988.33 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,981.07 / $20,417.38 / $26,915.35
| Facility | | $3,981.07 | $20,417.38 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $13,182.57 / $17,378.01
| Facility | | $8,317.64 | $13,182.57 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $21,379.62 / $30,199.52
| Facility | | $8,709.64 | $21,379.62 | $30,199.52 |