- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,802.68 / $17,840.90 / $28,726.00
| Facility | | $7,802.68 | $17,840.90 | $28,726.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,772.92 / $27,049.51
| Facility | | $1,474.01 | $7,772.92 | $27,049.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,914.48 / $18,653.75 / $26,425.29
| Facility | | $12,914.48 | $18,653.75 | $26,425.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,288.67 / $15,645.42 / $32,857.31
| Facility | | $11,288.67 | $15,645.42 | $32,857.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,598.89 / $15,645.42 / $33,281.56
| Facility | | $10,598.89 | $15,645.42 | $33,281.56 |