- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,526.10 / $16,294.20 / $18,439.40
| Facility | | $10,526.10 | $16,294.20 | $18,439.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,171.83 / $15,384.61 / $20,778.07
| Facility | | $10,171.83 | $15,384.61 | $20,778.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,720.07 / $14,294.66 / $20,439.89
| Facility | | $9,720.07 | $14,294.66 | $20,439.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,654.00 / $16,289.00 / $20,738.00
| Facility | | $10,654.00 | $16,289.00 | $20,738.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $15,203.18 / $25,003.19
| Facility | | $5,274.00 | $15,203.18 | $25,003.19 |