- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,332.20 / $23,624.60 / $38,038.69
| Facility | | $10,332.20 | $23,624.60 | $38,038.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,621.09 / $31,928.64
| Facility | | $1,474.01 | $7,621.09 | $31,928.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,101.20 / $24,701.07 / $34,992.04
| Facility | | $17,101.20 | $24,701.07 | $34,992.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,948.32 / $20,717.47 / $43,509.25
| Facility | | $14,948.32 | $20,717.47 | $43,509.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,034.92 / $20,717.47 / $44,071.03
| Facility | | $14,034.92 | $20,717.47 | $44,071.03 |