- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,774.35 / $16,500.70 / $29,036.50
| Facility | | $9,774.35 | $16,500.70 | $29,036.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,068.75 / $14,983.20 / $24,444.36
| Facility | | $10,068.75 | $14,983.20 | $24,444.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,891.29 / $15,209.63 / $21,001.77
| Facility | | $8,891.29 | $15,209.63 | $21,001.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,306.15 / $32,306.15 / $37,914.01
| Facility | | $32,306.15 | $32,306.15 | $37,914.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $14,380.23 / $20,540.52
| Facility | | $1,787.00 | $14,380.23 | $20,540.52 |