- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $25,703.96 / $36,307.81
| Facility | | $16,982.44 | $25,703.96 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $33,113.11 / $56,234.13
| Facility | | $12,302.69 | $33,113.11 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $20,892.96 / $35,481.34
| Facility | | $15,135.61 | $20,892.96 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $23,442.29 / $34,673.69
| Facility | | $19,054.61 | $23,442.29 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $22,908.68 / $33,113.11
| Facility | | $12,022.64 | $22,908.68 | $33,113.11 |