- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,645.34 / $19,767.59 / $31,828.30
| Facility | | $8,645.34 | $19,767.59 | $31,828.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,552.72 / $18,552.72 / $24,910.03
| Facility | | $18,552.72 | $18,552.72 | $24,910.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,769.06 / $28,796.19
| Facility | | $1,474.01 | $11,769.06 | $28,796.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,309.18 / $20,668.27 / $29,279.09
| Facility | | $14,309.18 | $20,668.27 | $29,279.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,507.80 / $17,335.05 / $36,405.74
| Facility | | $12,507.80 | $17,335.05 | $36,405.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,498.61 / $16,436.00 / $31,253.05
| Facility | | $11,498.61 | $16,436.00 | $31,253.05 |