- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,150.20 / $32,688.60 / $53,132.70
| Facility | | $19,150.20 | $32,688.60 | $53,132.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.00 / $22,858.57 / $31,075.59
| Facility | | $11,231.00 | $22,858.57 | $31,075.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,421.15 / $25,972.70 / $40,974.44
| Facility | | $16,421.15 | $25,972.70 | $40,974.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,103.48 / $18,162.96 / $41,324.19
| Facility | | $8,103.48 | $18,162.96 | $41,324.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $27,127.05 / $37,313.80
| Facility | | $6,842.00 | $27,127.05 | $37,313.80 |