- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,440.50 / $35,921.60 / $50,464.00
| Facility | | $26,440.50 | $35,921.60 | $50,464.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,422.00 / $31,892.21 / $45,394.38
| Facility | | $19,422.00 | $31,892.21 | $45,394.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,065.93 / $31,843.89 / $57,636.00
| Facility | | $23,065.93 | $31,843.89 | $57,636.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $172.91 / $328.73 / $538.23
| Facility | | $172.91 | $328.73 | $538.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,405.95 / $35,160.83 / $57,866.54
| Facility | | $25,405.95 | $35,160.83 | $57,866.54 |