- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,489.50 / $20,518.00 / $35,898.69
| Facility | | $15,489.50 | $20,518.00 | $35,898.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,954.43 / $12,076.68 / $18,194.31
| Facility | | $9,954.43 | $12,076.68 | $18,194.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $19,270.91 / $38,640.11
| Facility | | $5,939.30 | $19,270.91 | $38,640.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,134.00 / $19,685.30 / $32,051.25
| Facility | | $13,134.00 | $19,685.30 | $32,051.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $21,144.76 / $32,296.01
| Facility | | $3,496.00 | $21,144.76 | $32,296.01 |